Abstract
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.
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