Diffuse abdominal accumulation of Ga-67 citrate in a patient with alpha-chain disease

A middle-aged Latin American with serological and biopsy proven diagnosis of alpha-chain disease involving the small intestine had whole-body imaging with 5 mCi Ga-67 citrate for the staging of possible lymphoma. There was persistent diffuse accumulation of the Ga-67 activity in the abdomen, simulating findings of peritonitis. The causes of diffuse abdominal Ga-67 activity are briefly discussed.