[A Resected Case of the Pancreatic Tail Cancer Invading the Surrounding Organs with Splenic Abscess]

A 73-year-old man was transferred to our hospital with high fever. Computed tomography(CT)showed pancreatic tail cancer invading the stomach, colon, spleen and retroperitoneum around the left kidney. Splenic abscess with air was also observed. Marked increase in WBC and CRP were observed and the CA19-9 level was also elevated to 1,030 U/mL. The patient was diagnosed with pancreatic tail cancer invading to surrounding organs with splenic abscess due to penetration of the colon. Then emergency surgery was performed. Distal pancreatectomy with splenectomy, total gastrectomy and partial colectomy was performed. Pathological examination showed a moderately differentiated adenocarcinoma of the pancreatic tumor with invasion of other organs (stomach, colon, spleen and greater omentum). The postoperative course was uneventful and the patient was discharged 22 days after surgery. The patient is currently receiving adjuvant chemotherapy without recurrence. In the case of pancreatic tail cancer invading surrounding organs with splenic abscess, it is important to perform en bloc resection of tumor and invading surrounding organs and to start early postoperative chemotherapy for better survival.