Labeled Heat-Denatured Red Blood Cell Scintigraphy in Hepatic Splenosis in a Cirrhotic Patient

The patient is a 66-year-old male with a history of splenectomy and chronic cirrhosis. During pre-transplant study, a suspicious space-occupying lesion was found in the lateral segment of the left hepatic lobe, along with multiple mesenteric lesions. To rule out tumor implants that would contraindicate transplantation, and given the suspicion of mesenteric splenosis, labeled heat-denatured red blood cell scintigraphy was performed, which confirmed not only the existence of mesenteric splenosis (Fig. 1a and b, blue arrowheads) but also the presence of intrahepatic splenic tissue (Fig. 1b, red arrowhead). The patient received a transplant, and the diagnosis of intrahepatic splenosis was confirmed histologically after surgery.

Fig. 1