Reports (Jun 2020)

Gastro-Splenic Fistula Related to Large B Cell Lymphoma

  • Diana Triantafyllopoulou,
  • Ioannis Gkikas,
  • Jagdish Adiyodi,
  • Iain Crossingham,
  • Shofiq Al-Islam,
  • Muhammad Shahbaz Alam,
  • Neil Sahasrabudhe,
  • Ambareen Kausar,
  • Ali Bin Ayub,
  • Hazel Cowburn,
  • Lisa Fox,
  • Maqsood Punekar,
  • Marian Macheta,
  • Reuben Tooze

DOI
https://doi.org/10.3390/reports3020017
Journal volume & issue
Vol. 3, no. 2
p. 17

Abstract

Read online

We report a case of spontaneous gastrosplenic fistula in a 57 year old female who presented to the emergency department with abdominal pain and weight loss. From the physical examination, she had a palpable abdominal mass. A CT scan was performed and showed a mass involving the proximal greater curve of the stomach, infiltrating the spleen and pancreas. There was a 12 mm defect in the cardia of the stomach with gas entering the large mass but there was no free gas in the abdomen. The defect was a gastrosplenic fistula. A gastroscopic biopsy confirmed the diagnosis of diffuse large B cell lymphoma. Surgical removal of the mass was not feasible; therefore she was treated with RCHOP chemotherapy, achieving complete remission.

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