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Tc-99m red blood cell uptake in positive somatostatin receptor scintigraphy by two accessory spleens.

Two abdominal masses revealed by CT showed uptake on an In- 111 pentetreotide SPECT scan done because of clinical suspicion of a paraneoplastic syndrome. Because the patient had a previous traumatic splenectomy, accessory spleens were also suspected and Tc-99m red blood cell SPECT showed uptake in the 2 lesions. This is a report on the value of the addition of the Tc-99m red blood cell SPECT when accessory spleens may be the cause of In-111 pentetreotide uptake. Therefore, the combined use of both techniques is suggested in this setting.