Portal venous gas associated with splenic abscess secondary to colon cancer

Atsunori Nakao, Hiromi Iwagaki, Hiroshi Isozaki, Taiichiro Kanagawa, Nagahide Matsubara, Norihisa Takakura, Noriaki Tanaka

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)


We report a successfully treated case accompanied by portal venous gas, which was associated with splenic abscess due to penetration of colon cancer. In June, 1998, a 67-year-old Japanese man was referred to our hospital because of a continuous fever over 40°C and portal venous gas detected by computed tomography (CT). CT revealed low density areas in the spleen and wall thickening of the descending colon next to the spleen. Barium-enema examination demonstrated an extrinstic filling defect in the splenic flexure of the colon. Splenectomy, resection of the pancreatic tail and left hemicolectomy were performed Histopathological studies showed moderately differentiated adenocarcinoma, which made a fistula at the bottom of the ulceration to the spleen. The postoperative course was uneventful. The portal venous gas was likely to have resulted from a bacterial infection in the portal venous systems secondary to the splenic abscess.

Original languageEnglish
Pages (from-to)5641-5644
Number of pages4
JournalAnticancer research
Issue number6 C
Publication statusPublished - Dec 1 1999


  • Colon cancer
  • Portal venous gas
  • Splenic abscess

ASJC Scopus subject areas

  • Oncology
  • Cancer Research


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