Pancreatic Mucinous Cystadenocarcinoma with Splenic Abscess and Fistula between the Splenic Abscess and the Colon: A Rare Case
What is Mucinous Cystadenocarcinoma of the pancreas?
Rare malignancies include mucinous cystadenocarcinomas (MCAC) of the pancreas. Surgical resection is typically associated with a positive prognosis when it is restricted to the pancreas alone. However, there is little information on the potential benefits of palliative chemotherapy for diseases that cannot be surgically removed.
The right subphrenic abscess, splenic abscess, and an abscess in the front of the tail of the pancreas of unknown origin were all diagnosed in the 65-year-old woman who was admitted on January 8, 2003, due to fever that had persisted for five months. A normal pancreas was visible on the CT scan with low-density lesions that represented abscesses in the spleen and intraperitoneal cavity (front of the pancreas' tail and umbilical area). Her symptoms improved following the drainage of the intraperitoneal abscess in the umbilical region and the splenic abscess under US guidance. Splenectomy was performed in order to confirm the existence of a fistula connecting the splenic abscess to the splenic flexure of the colon (spleno colonic fistula) and stricture of the transverse colon.
It is uncommon to have a splenic abscess together with pancreatic cancer.
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