An Operated Case of Gastric Cancer Combined with Splenic Artery Aneurysm and Nonfunctioning Adrenal Tumor

Hiroshi Takami, Yuji Hanatani, Fumitoshi Horie, Akihisa Nemoto, Ken-ichi Kidooka, Tatsuo Asagoe, Jun-ichi Shikata

First Department of Surgery, Teikyo University School of Medicine

A patient who underwent a combined operation for splenic aneurysm, nonfunctioning adrenocortical adenoma, and gastric cancer is reported. A 74-year-old woman was diagnosed having early gastric cancer. A selective celiac angiogram and a computed tomogram showed a calcified splenic aneurysm at the splenic hilus and a left adrenal mass (incidentaloma). On March 17, 1986, the patient underwent total gastrectomy, aneurysmatectomy, splenectomy and adrenalectomy. The spleen was 10 mm in diameter and atherosclerotic. The adrenal mass was 16 mm in diameter and was diagnosed as nonfunctioning adrenocortical adenoma. At present she shows no sign of recurrence. It is generally said that splenic aneurysm with calcification and 10 mm in diameter has low frequency of rupture and nonfunctioning adenoma of 16 mm in diameter has a low possibility of malignancy. However, this patient underwent aneurysmatectomy and adrenalectomy at the operation for gastric cancer because a reoperation would have been somewhat difficult.

Key words
splenic aneurysm, nonfunctioning adrenal tumor, incidentaloma

Reprint requests
Hiroshi Takami First Department of Surgery, Teikyo University School of Medicine
2-11-1, Kaga, Itabashi-ku, Tokyo, 173 JAPAN

Accepted
June 13, 1990

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