Spontaneous gastrosplenic fistula secondary to primary splenic lymphoma.
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.
Department of General Medicine, Barnet and Chase Farm NHS Trust, London, UK. Faraan@doctors.org.uk
Faraan
F
Khan
Sheida
S
Vessal
Eister
E
McKimm
Raymond
R
D'Souza
D000328:Adult; D058846:Antibodies, Monoclonal, Murine-Derived / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use; D001706:Biopsy; D003299:Cooperative Behavior; D003520:Cyclophosphamide / Q000008:administration & dosage; D003561:Cytarabine / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004317:Doxorubicin / Q000008:administration & dosage; D005047:Etoposide / Q000008:administration & dosage; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology* / Q000628:therapy; D005747:Gastric Fistula / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007069:Ifosfamide / Q000008:administration & dosage; D007090:Image Interpretation, Computer-Assisted; D033183:Interdisciplinary Communication; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology / Q000628:therapy; D008727:Methotrexate / Q000008:administration & dosage; D061330:Multidetector Computed Tomography; D010348:Patient Care Team; D011856:Radiographic Image Enhancement; D000069283:Rituximab; D013154:Spleen / Q000000981:diagnostic imaging / Q000473:pathology; D013158:Splenic Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology*; D013160:Splenic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology / Q000628:therapy; D014750:Vincristine / Q000008:administration & dosage
D058846:Antibodies, Monoclonal, Murine-Derived; D003561:Cytarabine; D000069283:Rituximab; D014750:Vincristine; D005047:Etoposide; D004317:Doxorubicin; D003520:Cyclophosphamide; D007069:Ifosfamide; D008727:Methotrexate