ArticleFrontiers in oncology2026
Case Report: splenic abscess as a rare complication of perforated splenic flexure colorectal carcinoma: the role of imaging and multidisciplinary management.
Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Splenic abscess is an exceedingly rare complication of colorectal carcinoma, particularly when associated with tumor perforation, colosplenic fistula, and multiorgan invasion. Case presentation: We present the case of a 71-year-old male patient with splenic flexure colorectal carcinoma (CRC) complicated by colosplenic fistula, splenic abscess, and invasion of the spleen, pancreas, and gastric wall, which were identified by contrast-enhanced computed tomography (CT). Following multidisciplinary team (MDT) consultation, an emergency laparotomy with multiorgan Conclusions: A novel "Dual-Pathway" Hypothesis is proposed to explain CRC-associated splenic abscess pathogenesis. A structured diagnostic and treatment workflow is presented to guide future management of such complex cases. This report highlights the critical roles of advanced imaging and MDT collaboration in optimizing outcomes for rare CRC complications.
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