EP945 - Isolated Synchronous Splenic Metastasis Arising From An Adenocarcinoma Of The Transverse Colon - A Case Report

ePoster Presenter(s)

• 

  Ma. Ina Felicia B. Gutierrez

  Fellow in Training
  Quirino Memorial Medical Center
  Makati City, National Capital Region, Philippines

  All of the relevant financial relationships listed below have been mitigated.
  This individual has no financial relationships with ineligible companies.

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Author(s)

• KY

  Kenneth Yabut, n/a

  Fellowship Training Officer
  Quirino Memorial Medical Center
  Quezon City, National Capital Region, Philippines

  Disclosure information not submitted.
• RA

  Ryan Rainiel Abary, n/a

  Chief of Section in Colorectal Surgery
  Quirino Memorial Medical Center
  Quezon City, National Capital Region, Philippines

  Disclosure information not submitted.

Purpose/Background: Isolated synchronous splenic metastasis from a colonic malignancy is an extremely rare entity.

Methods/Interventions: We report the case of a 54 year old Filipino female who was diagnosed with a mid-transverse colon carcinoma with isolated synchronous splenic metastasis on the basis of colonoscopic and computed tomography findings, and elevated carcinoembryonic antigen levels.

Results/Outcomes: She underwent an extended right hemicolectomy with splenectomy which was aimed towards a curative intent.

Conclusion/Discussion: Due to the low incidence of this condition, pre-operative evaluation is crucial and single-stage curative resection is a promising option in patients who are fit to undergo surgery.

Figure 1
Axial view of the patient’s abdominal CT scan, showing the colonic tumor outlined in red

Figure 2
Axial view of the patient’s abdominal CT scan, showing multiple splenic masses outlined in red and a normal appearing liver