A gastrosplenic fistula is a rare complication of gastric and splenic lymphomas which can occur spontaneously or secondary to chemotherapy. We report a case of a spontaneous gastrosplenic fistula secondary to a diffuse splenic large B cell lymphoma in a previously well 43-year-old patient. CT imaging demonstrated the fistula, which was subsequently managed with chemotherapy. The clinical management of this rare condition is discussed with a review of the literature.
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| http://dx.doi.org/10.1136/bcr.04.2010.2932 | DOI Listing |
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Article Synopsis
- A 72-year-old man went to the hospital because he had been bleeding in his stool for two weeks.
- Doctors found out he had a problem with his stomach and a connection to his spleen, which was likely caused by a return of his cancer called Non-Hodgkin's Lymphoma.
- After getting better in the hospital and not wanting more chemotherapy, he went home and is now getting help from a Palliative Care team.
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Gastrosplenic Fistula and/or Splenic Abscess: A Rare and Refractory Complication Following Sleeve Gastrectomy.
Obes Surg
August 2024
Department of General Surgery, Beijing Friendship Hospital, Capital Medical University & State Key Lab of Digestive Health & National Clinical Research Center for Digestive Diseases, 95 Yong-an Road, Xi-Cheng District, Beijing, 100050, China.
Splenic abscess is a rare complication often associated with sleeve gastrectomy (SG) due to factors including local infections, distant infections, tumors, ischemia, and trauma, which presents substantial challenges. We report four cases of gastrosplenic fistula and/or splenic abscess after SG. Patient data, including demographics, comorbidities, diagnostic procedures, treatments, and outcomes, were recorded.
View Article and Find Full Text PDFIntroduction: Laparoscopic sleeve gastrectomy (LSG) is one of the most performed bariatric procedures. But it is also associated with serious and potentially life-threatening staple line-related complications, such as stomach leak and bleeding.
Case Report: The article describes a case of surgical treatment of an early fistula between the stomach and the spleen 3 weeks after LSG.
Gastrosplenic fistula due to splenic lymphoma: two case reports and review of the literature.
J Med Case Rep
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Article Synopsis
- - Gastrosplenic fistula is a rare and serious condition often caused by lymphoma, which can develop spontaneously or post-chemotherapy, and is commonly mistaken for a splenic abscess.
- - Accurate diagnosis relies on identifying the fistulous tract through computed tomography, and treatment options typically include surgical resection and chemotherapy.
- - In a case study, two patients with diffuse large B cell lymphoma experienced lethal outcomes, highlighting the poor prognosis of gastrosplenic fistula even after surgical intervention.
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