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The dissemination and autotransplantation of viable splenic tissue in different anatomic compartments of the body can present a diagnostic dilemma, especially when metastatic disease is suspected. We report a case of a 30-year-old male with well-differentiated gastric neuroendocrine tumor (Grade II) treated with surgery. Follow-up 68 Ga-DOTA-NOC demonstrated a suspicious peritoneal soft-tissue nodule in the right paracolic gutter with increased tracer uptake. In view of splenectomy 10 years ago, the patient underwen 99m Tc heat-denatured erythrocyte study which showed a very unusual pattern of multiple tracer-avid foci of splenic tissue in both intraperitoneal and extraperitoneal distributions. The integration of the patient's history and complementary nuclear imaging results led to the correct diagnosis of splenosis.

indian journal of nuclear medicine

A very unusual pattern of intraperitoneal and extraperitoneal heterotropic splenic tissue-mimicking metastases identified on <sup>68</sup>Ga-DOTA-NOC positron emission tomography/computed tomography and <sup>99m</sup>Tc heat-denatured erythrocyte study

A very unusual pattern of intraperitoneal and extraperitoneal heterotropic splenic tissue-mimicking metastases identified on 68Ga-DOTA-NOC positron emission tomography/computed tomography and 99mTc heat-denatured erythrocyte study

A very unusual pattern of intraperitoneal and extraperitoneal heterotropic splenic tissue-mimicking metastases identified on ⁶⁸Ga-DOTA-NOC positron emission tomography/computed tomography and ^99mTc heat-denatured erythrocyte study