(99m)Tc disphosphonate uptake due to splenosis: incidental finding 60 years after splenectomy

Clinical Nuclear Medicine
Giorgio BaldariLivia Ruffini

Abstract

A 72-year-old man was referred for a triphasic bone scintigraphy to evaluate painful prosthetic implant of the knee. In all the study phases, images showed abnormal uptake close to the tibial portion of the implant. Interestingly, later whole-body images revealed high radiopharmaceutical accumulation in the left hypochondrium. Subsequent radiolabeled leukocyte scintigraphy confirmed radiotracer accumulation in the same localizations. As an important background the patient underwent splenectomy owing to Banti syndrome 60 years earlier. A Tc-labeled heat-damaged red blood cell scintigraphy was then performed, which confirmed radiopharmaceutical accumulation in the left hypochondrium being consistent with splenosis.

References

Dec 1, 1996·Clinical Nuclear Medicine·M CastellaniP Gerundini
Aug 10, 1999·Clinical Nuclear Medicine·S S Sabnis, M J Blend
Dec 29, 2000·Clinical Nuclear Medicine·M KoizumiE Ogata
Feb 3, 2005·Annals of Nuclear Medicine·A Fuat YaparMehmet Reyhan
Apr 14, 2005·Clinical Nuclear Medicine·Etsushi KawamuraSusumu Shiomi
Nov 21, 2007·Radiología·P PuyaltoA Olazábal
May 28, 2013·TheScientificWorldJournal·Adalet Elcin YildizMusturay Karcaaltincaba

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