Locally Advanced Splenic Flexure Tumor With Invasion And Formation Of Splenic Abscess
Year: 2024
Type: article
Study design: Case Report
Abstract: Introduction: Splenic abscesses are rare, with an incidence of 0.14-0.70% in autopsies, affecting mainly men and immunosuppressed patients. Symptoms include fever, abdominal pain, nausea, and vomiting. Splenic invasion by colon cancer at the splenic flexure is uncommon. We report a case of cancer at the splenic flexure resulting in a splenocolic fistula and splenic abscess. Case Description: A 43-year-old man, with a history of injectable drug use, presented with diffuse abdominal pain. Tests revealed leukocytosis, thrombocytopenia, and elevated bilirubins and liver enzymes. A CT scan identified thickening in the colon and a splenic abscess. Total splenectomy and left colectomy with colon-colonic anastomosis were performed. Discussion: Splenic abscesses are rare and, when associated with colonic neoplasms, present a diagnostic and therapeutic challenge. This case highlights the importance of aggressive surgical intervention to treat tumor invasions and associated complications.
Authors: Hercules Magalhães Olivense do Carmo, Miguel Lucas Silva Valente, Donizete Junior Dalto, Sthefanie da Silva Bessa, Luana Livelli Becker, Gabriel de Carvalho Carapiá Dias, Natália Froeder Barroso, Angela Claudia Paixão Soares de Magalhães
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4403627409