title: Gastro-splenic fistula as a complication of chemotherapy for large B cell lymphoma.
abstract: OBJECTIVE
  Gastro-splenic fistula is a rare entity in which malignant tumors are the primary cause, followed by perforated peptic ulcers and Crohn's disease.
  
  
  METHODS
  A 66 years old patient undergoing chemotherapy for gastric large cells B lymphoma presented fever, fatigue and worsening of general conditions. A CT scan showed the presence of an abdominal abscess resulting from a pathological communication between stomach and spleen.
  
  
  RESULTS
  En - bloc splenectomy and gastric wedge resection was performed; gastric wall was sutured with a linear stapler. Postoperative stay was uneventful; alimentation was restarted 5 days after the surgical procedure, and the patient was discharged 2 days later
  
  
  CONCLUSIONS
  We have described an unusual case of gastric fistula complicating chemotherapy early diagnosed and successfully treated.
  
  
  BACKGROUND
  Chemothera Gastrosplenic fistula, Lymphoma, Surgery.
authors.forename: Sergio
authors.initials: S
authors.lastname: Gentilli
authors.forename: Alberto
authors.initials: A
authors.lastname: Oldani
authors.forename: Manuela
authors.initials: M
authors.lastname: Zanni
authors.forename: Erika
authors.initials: E
authors.lastname: Ferreri
authors.forename: Alfonso
authors.initials: A
authors.lastname: Terrone
authors.forename: Guido
authors.initials: G
authors.lastname: Valente
authors.forename: Pietro
authors.initials: P
authors.lastname: Occhipinti
mesh_terms: D000368:Aged; D000970:Antineoplastic Agents / Q000009:adverse effects*; D005260:Female; D005402:Fistula / Q000139:chemically induced*; D005747:Gastric Fistula / Q000139:chemically induced*; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000188:drug therapy*; D013158:Splenic Diseases / Q000139:chemically induced*
chemical_list: D000970:Antineoplastic Agents