A CASE OF RUPTURE OF A SPLENIC ABSCESS ASSOCIATED WITH CARCINOMA OF THE PANCREAS TAIL

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  • 膵尾部癌に伴う脾膿瘍破裂の１例

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Abstract

A 74-year-old man was seen at the hospital because of fever and abdominal pain. On physical findings of the abdomen peritoneal signs were noted. An abdominal CT scan showed a small amount of ascites and multiple low density areas in the spleen. An emergency operation was performed with a diagnosis of peritonitis due to rupture of a splenic abscess. During the operation we confirmed a moderate amount of cloudy ascites and the spleen which had formed a mass involving the pancreas tail. The ruptured abscess cavity was identified at the lower pole of the spleen, and then splenectomy, distal pancreatectomy, and abdominal drainage ware performed. Histopathological studies of the resected material disclosed the splenic abscess formation with invasion of moderately differentiated tubular adenocarcinoma arisen in the pancreas tail.<br>Splenic abscess associated with pancreatic carcinoma is a rare entity so that we report this case, together with a review of the literature.

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