Ga-67 imaging of perisplenic abscess after splenic embolization

Splenic artery embolization is emerging as a promising alternative to surgical splenectomy for hypersplenism. Presented is case of a patient with non-Hodgkin's lymphoma with splenomegaly, who was treated for thrombocytopenia and neutropenia with splenic artery embolization. A few days later, the patient developed a septic pattern. Abdominal CT with contrast enhancement showed an enlarged spleen with solid and cystic areas. Liver- spleen scintigraphy revealed minimal residual functioning splenic tissue, and Ga-67 scintigraphy revealed ring-shaped perisplenic uptake, suggesting a perisplenic abscess. The diagnosis was confirmed by needle aspiration of thick purulent fluid from the abscess which grew Moganella Morganii on culture.