HighlightsWe present a case of a 71-year-old patient with isolated splenic metastasis, diagnosed 6 years after primary treatment of a gastric adenocarcinoma, who underwent splenectomy.Isolated splenic metastasis, particularly from gastric adenocarcinoma, are rare.In cases of isolated splenic metastasis from gastric adenocarcinoma, fit patients should be considered for splenectomy, since there are reports of good patient survivals.
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