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.
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