title: [Splenic abscess as an unusual manifestation of colonic carcinoma].
abstract: A patient was admitted to the Internal Medicine Department after suffering from fever for 4 days. A splenic abscess was found in an ultrasound examination and was confirmed by an abdominal computerized tomography and galium scan. Antibiotic treatment was successful, however barium enema was performed due to the lack of a predisposing factor for this unusual abscess. A polypoid mass was found in the splenic flexure of the colon. Colonoscopy and histologic examination confirmed the mass to be colonic adenocarcinoma. Either an endoscopic examination or barium enema are recommended to exclude colonic lesions in cases of splenic abscess without an obvious cause.
authors.affiliation: Department of Medicine D, Imaging Institute, Barzilai Hospital, Ashkelon, Israel.
authors.forename: Ilan
authors.initials: I
authors.lastname: Leibovitz
authors.forename: Ilia
authors.initials: I
authors.lastname: Polychuck
authors.forename: Tatiana
authors.initials: T
authors.lastname: Reitblat
authors.forename: David
authors.initials: D
authors.lastname: Gheorghiu
authors.forename: Doron
authors.initials: D
authors.lastname: Zamir
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis*; D000328:Adult; D003110:Colonic Neoplasms / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D013158:Splenic Diseases / Q000209:etiology*; D013369:Subphrenic Abscess / Q000209:etiology*; D014057:Tomography, X-Ray Computed