Radiogallium hot spleen in Trousseau's syndrome with splenic vein occlusion.
A 75-year-old man had multiple findings that indicated thromboembolic disease. A radiocolloid study showed splenic defects. The remainder of the spleen was hot on radiogallium imaging. The patient had Trousseau's syndrome (tumor-associated thromboembolism) due to carcinoma of the pancreas. The splenic vein was obstructed. Vascular compromise should be considered in the differential diagnosis of the radiogallium hot spleen.
D000230:Adenocarcinoma / Q000150:complications* / Q000473:pathology / Q000556:secondary; D000368:Aged; D005710:Gallium Radioisotopes; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary; D008297:Male; D010190:Pancreatic Neoplasms / Q000150:complications*; D011655:Pulmonary Embolism / Q000150:complications; D011877:Radionuclide Imaging; D013154:Spleen / Q000000981:diagnostic imaging* / Q000473:pathology; D013162:Splenic Vein / Q000473:pathology; D013577:Syndrome; D013923:Thromboembolism / Q000150:complications*; D013927:Thrombosis / Q000000981:diagnostic imaging
D005710:Gallium Radioisotopes