Presentation
Abdominal pain with recent history of uterine cancer. Concerns regarding intra-abdominal metastasis. Past medical history includes motor vehicle accident (age 10) with a ruptured spleen.
Patient Data
Age: 50 years
Gender: Female
From the case:
Splenosis (on Tc-99m DRBC)
Tc-99m-tagged heat-damaged RBC scan (Tc-99m-DRBC) with autologous erythrocytes shows accumulation in the abdominal cavity, consistent with intra-abdominal splenosis.
Case Discussion
Main concern for intra-abdominal lesions found on CT scan was for metastatic disease. Using heat treated RBC confirmed the functioning splenosis at the various abdominal sites.