AI Article Synopsis
- An 82-year-old woman was hospitalized due to lower abdominal pain and nausea, leading to the discovery of sigmoid colon cancer and a solitary splenic tumor through imaging tests.
- A metallic stent was placed for the colon lesion, and a subsequent FDG-PET scan confirmed the splenic tumor as a metastatic site from the colorectal cancer.
- The patient underwent successful laparoscopic surgeries for both tumors, had a positive recovery, was discharged 9 days later, and remains free of recurrence 4 months post-surgery; this case marks the first documented instance of this rare condition in Japan.
Article Abstract
An 82-year-old woman presented to our hospital with chief complaints of lower abdominal pain and nausea. Contrast- enhanced CT showed ileus of sigmoid colon cancer and a solitary splenic tumor. A metallic stent was placed for the primary lesion. FDG-PET showed high FDG accumulation in the solitary splenic tumor, and synchronous solitary splenic metastasis was diagnosed. Laparoscopic sigmoid colectomy and laparoscopic splenectomy were performed without changing the intraoperative position or port arrangement. Postoperative progress was favorable. The patient was discharged 9 days after surgery, and no sign of recurrence has been observed to date, at 4 months after surgery. Solitary splenic metastasis of colorectal cancer is extremely rare. This is the first case report of synchronous solitary splenic metastasis of colorectal cancer treated with laparoscopic resection in Japan. This procedure is considered effective and minimally invasive. We review and discuss the Japanese literature on this rare disease.
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