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Inicio Cirugía Española (English Edition) Abdominal Splenosis: Usefulness of 99mTc-phytate Hepato-splenic Scintigraphy in ...
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Vol. 96. Issue 6.
Pages 375 (June - July 2018)
Vol. 96. Issue 6.
Pages 375 (June - July 2018)
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Abdominal Splenosis: Usefulness of 99mTc-phytate Hepato-splenic Scintigraphy in the Differential Diagnosis With Tumor Implantation
Esplenosis abdominal: utilidad de la gammagrafía hepato-esplénica con 99mTc-fitato en el diagnóstico diferencial con implante tumoral
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Elena Espinosa Muñoz
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elenaespinosamunoz@gmail.com

Corresponding author.
, Ana María Martín García, Diego Ramírez Ocaña, Carmen Puentes Zarzuela
Unidad de Gestión Clínica de Medicina Nuclear, Hospital Regional Universitario de Málaga, Málaga, Spain
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A 74-year-old woman with a history of hypertension, chronic myeloid leukemia, non-metastatic gastric GIST surgery and splenectomy due to splenic rupture. The patient was diagnosed with colon adenocarcinoma at the hepatic angle, and a PET/CT extension study detected only one left infradiaphragmatic nodule measuring 33×8mm, with no metabolic activity. Right hemicolectomy was conducted, with satisfactory postoperative evolution. Successive follow-up thoracoabdominal CT scans showed the persistence of the left subdiaphragmatic lesion, with no changes (Fig. 1A). In the end, an isotopic study using liver/spleen scintigraphy and SPECT-CT with 3D reconstruction revealed that this lesion was a splenic implant (Fig. 1B and C).

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Please cite this article as: Espinosa Muñoz E, Martín García AM, Ramírez Ocaña D, Puentes Zarzuela C. Esplenosis abdominal: utilidad de la gammagrafía hepato-esplénica con 99mTc-fitato en el diagnóstico diferencial con implante tumoral. Cir Esp. 2018;96:375.

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