Controversially, in this case, the patient presented with few symptoms and no clinical history of the acute or chronic pancreatitis. Both UG and CT lacked features of inflammatory changes in pancreas except for the uncertainty in the contour of pancreatic tail. Although pancreatitis may occur focally, but in this case, the lesion in the spleen was far more impressive. Combined the traumatic experience in this patient, another

possibility that a post-traumatic splenic pseudocyst involving the pancreas was posed. As the time going on, post-traumatic splenic hematoma developed into the splenic pseudocyst through resolution and liquefaction. With the enlargement and secondary infection of the splenic pseudocyst, the tail of pancreas was invaded. As the condition progressed, digestive enzymes leaked out, forming the pancreatic pseudocyst. selleck compound Conclusion: Because selleck chemical of the absence of further pathological analysis of cystic content, though it was black-brown, it was not sure about the elements in the pseudocyst, such as erythrocytes, leukocytes, macrophages, etc. So it made the cause of this huge splenic pseudocyst

complicated and confusing. Key Word(s): 1. pseudocyst; 2. spleen; 3. pancreas Presenting Author: JONG WOOK KIM Additional Authors: SANG KYUNG JUNG, BU HYUN LEE, YOUNG DOO KIM, WOO HYUN PAIK, WON KI BAE, NAM HOON KIM, KYUNG AH KIM, JUNE SUNG LEE, PYONG WHA CHOI Corresponding Author: JONG WOOK KIM Affiliations: Inje University Ilsan Paik Hospital, Inje University Ilsan Paik Hospital, Inje University Ilsan Paik Hospital, Inje University Ilsan Paik Hospital, Inje University Ilsan Paik Hospital, Inje University Ilsan Paik Hospital, Inje University Ilsan Paik Hospital, Inje University Ilsan Paik Hospital, Inje University Ilsan Paik Hospital Objective: Surgery for elderly patients with colorectal cancer (CRC) may

be curative, but age-related risks are present. We compared clinical course of elderly patients with CRC who underwent curative surgery and who did not. Methods: Clinical course of elderly patients aged 80 years or more who were diagnosed as having advanced CRC were analyzed retrospectively in a tertiary facility. Cox proportional MCE公司 hazards models were used to compare multivariable-adjusted risk for mortality Results: There were 92 patients aged 80 years or more who were diagnosed as having advanced CRC in our center. Among them, 57 patients (62%) underwent curative resection. The American Society of Anesthesiologists (ASA) classification was I/II in 46 (50%) and III/IV in 46 (50%) patients. TNM stage was I in 10 (10.9%), II in 25 (27.2%), III in 32 (34.8%), and IV in 25 (27.1%) patients. Disease location was rectum in 22 patients (24.3%), colon in 65 (70.7%), and multiple in 5 (5.5%) patients. Disease related mortality among patients who underwent surgery was 8.