Splenic abscess as an unusual manifestation of colonic carcinoma

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 performe...

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Bibliographic Details
Published inהרפואה Vol. 141; no. 3; p. 237
Main Authors Leibovitz, Ilan, Polychuck, Ilia, Reitblat, Tatiana, Gheorghiu, David, Zamir, Doron
Format Journal Article
LanguageHebrew
Published Israel 01.03.2002
Subjects
Adenocarcinoma - complications
Adenocarcinoma - diagnosis
Adult
Colonic Neoplasms - complications
Colonic Neoplasms - diagnosis
Female
Humans
Splenic Diseases - etiology
Subphrenic Abscess - etiology
Tomography, X-Ray Computed
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Summary: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.
ISSN:0017-7768