Abstract
Spleen is a very infrequent site of metastasis despite the fact that it is the most
vascular organ in the body. Even if systemic metastasis occurs, splenic metastasis
largely remained asymptomatic due to its large functional reserve, and most often,
the metastasis is detected incidentally on follow-up scan. Many cases of asymptomatic
splenic metastasis detected on follow-up scans are reported in literature from different
primary sites. Herein, we report a similar case of a 33-year-old male who presented
with isolated splenic recurrence after a long treatment-free interval following curative
treatment of adenocarcinoma jejunum. As stated, there are few previous reports of
isolated splenic metastasis from carcinoma colon, but considering small intestinal
adenocarcinoma, this is the first unique case reported to the best of our knowledge.
Due to rarity of clinical scenario and lack of established guidelines, the treatment
of such cases varies from patient to patient, and the knowledge, whatever we owe,
is on the basis of case reports only.
Keywords
Adenocarcinoma jejunum - isolated splenic metastasis - splenectomy
