Hand-assisted laparoscopic approach for the treatment of gastrosplenic fistula: A case report and review of the literature

Abstract

Gastrosplenic fistula is a rare complication of gastric or splenic lymphoma. Here we report the case of a 48 years old man who developed a gastrosplenic fistula secondary to splenic diffuse large B-cell lymphoma, successfully managed with hand-assisted laparoscopic splenectomy and gastric wedge resection. A review of the available literature is also presented, 33 cases of gastrosplenic fistula associated to gastric or splenic lymphoma were found, of which 25 were treated surgically. This case represents the first report of laparoscopic treatment of lymphoma-related gastrosplenic fistula described to our knowledge in the available literature.

Keywords

• Gastrosplenic fistula
• Diffuse large B-cell lymphoma
• Splenectomy
• Hand-assisted laparoscopy