[A case report of a splenic abscess due to colon cancer in splenic flexure infiltrating into spleen]

Gan To Kagaku Ryoho. 2014 Nov;41(12):1657-9.
[Article in Japanese]

Abstract

An 80-year-old man was admitted to our hospital with fever and dizziness. He was diagnosed with splenic abscess and invasion of descending colon cancer by enhanced abdominal computed tomography. A type 2 colon cancer was also observed in the descending colon by colonoscopy. There was no distant metastasis. Therefore, he underwent left hemicolectomy with splenectomy. A histological diagnosis of mucinous adenocarcinoma was made. The pathological findings were pT4b, pN1, cM0, fStage IIIa. The patient was discharged on the ninth post-operative day without any complications. We herein report a rare case of splenic abscess due to invasion of colon cancer and review 8 previous case reports. An en block resection including lymph node resection is recommended in such cases for curative resection.

Publication types

  • Case Reports
  • English Abstract
  • Review

MeSH terms

  • Abscess / etiology*
  • Aged, 80 and over
  • Colonic Neoplasms / complications*
  • Humans
  • Male
  • Neoplasm Invasiveness
  • Splenic Diseases / etiology*
  • Splenic Diseases / pathology