Abcès splénique secondaire à une fistule colosplénique révélant un cancer colique

Gervaise, A.; Roman, C. de Saint; Sockeel, Philippe; Lapierre, M.; Darbois, H.; Rousset, J.; Esperabe-Vignau, F.

doi:10.1016/s0221-0363(10)70184-0

Cited by 8 publications

(6 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The other intraoperative complication, a rectal wall injury, resulted during the colostomy reversal and was repaired primarily without further problems. There were five 17 , 20 , 22 (17%) postoperative complications, which consisted of respiratory insufficiency (Clavien–Dindo I) (13%) and reoperation for missed gastrostomy (Clavien–Dindo IV) (3%). On follow-up, three (10%) of the 30 patients had a 30-day mortality.…”

Section: Resultsmentioning

confidence: 99%

“…On follow-up, three (10%) of the 30 patients had a 30-day mortality. One patient developed multiple intra-abdominal abscesses leading to septic shock, multiorgan failure, and died shortly following a laparotomy, segmental colon resection, and inferior pole splenectomy 22 . One patient case at our institution successfully underwent laparotomy with splenic flexure colon resection, end colostomy, and splenectomy to treat the CsF but succumbed to progression of his primary malignancy.…”

Section: Resultsmentioning

confidence: 99%

“…Gervaise et al . 22 postulated that after perforation of the colon at the splenic flexure, the local inflammatory process and adhesion formation trigger the development of a fistulous tract with the spleen. Although splenic flexure tumors only account for 3–5% of all colon cancer cases 37 , 38 , CsFs may be a complication of tumors at this location.…”

Section: Discussionmentioning

confidence: 99%

“…Only one case of mortality could be possible related to the surgical treatment. This was a surgery in a patient with splenic flexure colon cancer complicated by perforation, CsF, and splenic abscess 22 . In this case, there was an attempt at partial splenectomy of the inferior portion of the spleen.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Colosplenic fistula diagnosis and management: a case series and review of literature

Hernandez Dominguez,

Lincango,

Spivak

et al. 2024

International Journal of Surgery

View full text Add to dashboard Cite

Background: A colosplenic fistula (CsF) is an extremely rare complication. Its diagnosis and management remain poorly understood, owing to its infrequent incidence. Our objective was to systematically review the etiology, clinical features, diagnosis, management, and prognosis to help clinicians gain a better understanding of this unusual complication and provide aid if it is to be encountered. Methods: A systematic review of studies reporting CsF diagnosis in Ovid MEDLINE, Ovid EMBASE, Scopus, Web of Science, and Wiley Cochrane Library from 1946 to June 2022. Additionally, a retrospective review of four cases at our institution were included. Cases were evaluated for patient characteristics (age, sex, and comorbidities), CsF characteristics including causes, symptoms at presentation, diagnosis approach, management approach, pathology findings, intraoperative complications, postoperative complications, 30-day mortality, and prognosis were collected. Results: Thirty patients with CsFs were analyzed, including four cases at our institution and 26 single-case reports. Most of the patients were male (70%), with a median age of 56 years. The most common etiologies were colonic lymphoma (30%) and colorectal carcinoma (17%). Computed tomography (CT) was commonly used for diagnosis (90%). Approximately 87% of patients underwent a surgical intervention, most commonly segmental resection (81%) of the affected colon and splenectomy (77%). Nineteen patients were initially managed surgically, and 12 patients were initially managed nonoperatively. However, 11 of the nonoperative patients ultimately required surgery due to unresolved symptoms. The rate of postoperative complications was (17%). Symptoms resolved with surgical intervention in 25 (83%) patients. Only one patient (3%) had had postoperative mortality. Conclusions: Our review of 30 cases worldwide is the largest in literature. CsFs are predominantly complications of neoplastic processes. CsF may be successfully and safely treated with splenectomy and resection of the affected colon, with a low rate of postoperative complications.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Colosplenic fistula diagnosis and management: a case series and review of literature

Hernandez Dominguez,

Lincango,

Spivak

et al. 2024

International Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…If the collections were infected as suggested by the results of the bacterial colture and the spreading was hematogenous, we still do not know the origin. In literature, the positivity to E. Coli is related to urinary infection [21] or to complication of colonic cancer [22] . In our case no contiguous nor distant sites of infection were detected.…”

Section: Discussionmentioning

confidence: 99%