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Late Splenosis Evaluation After Autoimplantation of Spleen Morsels in Major Omentum in Hepatosplenic Schistosomiasis Patients Using SPECT/CT Imaging

Brandão, Simone Cristina Soares, PhD*,†; Gondra, Luiza de Almeida; Viana, Raissa Almeida; Andrade, Luciana Raposo, MD; Brandt, Carlos Teixeira, PhD§

doi: 10.1097/RLU.0b013e31823ea497
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Hepatosplenic schistosomiasis is endemic in northeastern Brazil, representing the main cause of portal hypertension in children. The surgical treatment in children is portal decompression, and autoimplantation of spleen tissue in the major omentum as a protective measure against overwhelming postsplenectomy sepsis. We investigated 19 patients (36.8% male) at late follow-up, searching for the remaining spleen tissue by hepatosplenic SPECT/CT scintigraphy imaging with labeled colloidal stannous chloride (SnTc-99m). All patients had splenosis with SnTc-99m uptake. As demonstrated in the case presented here, SPECT/CT scintigraphy was better to locate and count the spleen morsels than planar images.

From the *Department of Nuclear Medicine, University Hospital, UFPE, Recife, Brazil; †Service of Nuclear Medicine of Santa Joana Hospital, Recife, Pernambuco, Brazil; ‡Children General Surgery Service of Centre for Health Sciences, Scholarship of Scientific Initiation—Brazilian National Council for Research (CNPq); and §Children General Surgery Service of Centre for Health Sciences, UFPE, Recife, Brazil.

Received for publication April 26, 2011; revision accepted October 18, 2011.

Conflicts of interest and source of funding: none declared.

Reprints: Simone Cristina Soares Brandão, Serviço de Medicina Nuclear, Hospital das Clínicas, Universidade Federal de Pernambuco UFPE. Av. Moraes Rego s/n, 50670–420 Recife, PE, Brasil. E-mail: simonecordis@yahoo.com.br.

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