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SPECT demonstration of splenosis
S Yoshida1, T Suematsu, T Motohara
1Department of Radiology, Hyogo Medical Center for Adults, Japan.
Annals of Nuclear Medicine
|May 1, 1992
Summary
Splenosis, the spread of spleen tissue after trauma, can mimic tumors on CT scans. Simultaneous SPECT and CT imaging offers crucial visualization for accurate diagnosis.
Area of Science:
- Medical Imaging
- Abdominal Surgery
- Pathology
Background:
- Splenosis involves the autotransplantation of splenic tissue, often resulting from splenic rupture due to abdominal trauma.
- Imaging modalities like scintigraphy and CT have demonstrated splenosis, but simultaneous SPECT and CT imaging has not been previously reported.
- Splenotic tissue can present as a solid, tumor-like mass on CT, complicating differential diagnosis of abdominal masses.
Observation:
- A case of splenosis is presented where imaging was performed using both SPECT and CT scans simultaneously.
- The patient underwent laparotomy for gastrectomy, which confirmed the presence of splenosis.
Findings:
- Simultaneous SPECT and CT imaging successfully visualized splenosis.
- This combined imaging approach proved valuable in identifying the exact location of the splenotic tissue.
- The findings highlight the utility of SPECT/CT in differentiating splenosis from other abdominal masses.
Implications:
- Simultaneous SPECT and CT imaging is a valuable tool for diagnosing splenosis.
- This technique aids in distinguishing splenosis from neoplastic or other abdominal pathologies.
- Accurate diagnosis through advanced imaging can guide surgical planning and patient management.