[A case report of a splenic abscess due to colon cancer in splenic flexure infiltrating into spleen].
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.
Dept. of Surgery, Kansai Rosai Hospital.
Yasuo
Y
Oneda
Yoshinori
Y
Kagawa
Hideki
H
Sakisaka
Takeshi
T
Kato
Yosuke
Y
Mukai
Yasufumi
Y
Sato
Yoshihiro
Y
Morimoto
Hiroki
H
Kusama
Tadayoshi
T
Hashimoto
Katsunori
K
Matsushita
Hiroshi
H
Kawashima
Kei
K
Kimura
Yoshiteru
Y
Katsura
Kanae
K
Nitta
Masatsugu
M
Okishiro
Atsushi
A
Takeno
Shin
S
Nakahira
Hirokazu
H
Taniguchi
Chiyomi
C
Egawa
Yutaka
Y
Takeda
Shigeyuki
S
Tamura
D000038:Abscess / Q000209:etiology*; D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000150:complications*; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D013158:Splenic Diseases / Q000209:etiology* / Q000473:pathology