EURORAD ESR

Case 14559

Splenosis – when nuclear medicine can help us!

Author(s)
Romeu Mesquita, Marta Reis de Sousa, Filipa Vilaverde, Hugo Duarte, Leão Rosas

Hospital de São Sebastião,
Centro Hospitalar de Entre o Douro e Vouga,
Radiologia;
Email:romeu.mesquita@gmail.com
 
Patient
male, 45 year(s)
 
 
  • Figure 1
    Axial CT images

    Axial CT images without contrast show splenic tissue near the liver and stomach.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;
     
     
  • Figure 2
    Axial CT images

    Axial CT images without contrast showing splenosis in the greater omentum.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;
     
     
  • Figure 3
    Axial CT images with contrast

    Enhancing lobulated mass with density similar to the liver that was removed because of suspicion of neuroendocrine tumour. Pathologic results proved that the mass was extrapancreatic splenosis.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;
     
     
  • Figure 4
    Scintigraphy images

    Technetium-99m-labelled heat-damaged red blood cell scan showed multiple foci of increased uptake.

     
    Area of Interest: Abdomen; Imaging Technique: Nuclear medicine conventional; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;
     
     
  • Figure 5
    SPECT images

    SPECT-CT confirmed that abdominal nodules were splenic tissue, thereby averting invasive procedures.

     
    Area of Interest: Abdomen; Imaging Technique: SPECT-CT; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;
     
     
Axial CT images without contrast show splenic tissue near the liver and stomach.
 
Axial CT images without contrast showing splenosis in the greater omentum.
 
Enhancing lobulated mass with density similar to the liver that was removed because of suspicion of neuroendocrine tumour. Pathologic results proved that the mass was extrapancreatic splenosis.
 
Technetium-99m-labelled heat-damaged red blood cell scan showed multiple foci of increased uptake.
 
SPECT-CT confirmed that abdominal nodules were splenic tissue, thereby averting invasive procedures.
 
 
 
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