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Erschienen in:
02.04.2018 | Clinical Practice: Clinical Images
Chronic Abdominal Pain from Disseminated Splenosis
Erschienen in: Journal of General Internal Medicine | Ausgabe 6/2018
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A 60-year-old woman presented with several years of dull left upper quadrant, mid-epigastric, and right flank pain. Abdominal CT showed multiple soft tissue densities of unclear etiology. She reported having a post-traumatic splenectomy in the 1960s. A technetium-99m-labeled heat-damaged RBC scan (Tc99m-dRBC) demonstrated radiotracer uptake in the left upper quadrant, posterior to the right kidney, and along the right diaphragm, confirming ectopic splenic deposits (Fig. 1).
Fig. 1
Maximum intensity projection (MIP) anterior and posterior images of Tc 99 m scan showing increased radiotracer uptake in three separate splenic tissue deposits in the left upper quadrant measuring 2.3, 2, and 1.5 cm (red arrows), a 1.7 cm subphrenic deposit beneath the right diaphragm (blue star), and a 3 cm deposit posterior to the right kidney (green arrowhead), all correlating with her sites of discomfort.
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