Identification of Concomitant Iatrogenic Lower Extremity Lymphedema and Pelvic Lymphatic Leak on Lymphoscintigraphy and SPECT/CT.

Pelvic lymphatic leakage and lower extremity lymphedema are well-known complications of pelvic surgery or radiation therapy. We report a cervical carcinoma patient who, after hysterectomy and lymphadenectomy, developed concomitant lymphedema of the left lower extremity and a pelvic lymphatic leak identified on lymphoscintigraphy and SPECT/CT.