Clinical, diagnostic and therapeutic characteristics of a case of a fa
llopian tube adenocarcinoma splenic metastasis are reported. This case
illustrates the diagnostic difficulties of this situation. These diff
iculties are both related to the poorly specific symptomatology and th
e low specificity of the current imagery. Percutaneous biopsy-aspirati
on guided by ultrasonography or CT-scan could be helpful. The treatmen
t is surgery, eventually combined with adjuvant radiotherapy: it can a
llow a long survival time. Splenic metastasis should be systematically
checked up in every tumoral context.