Gastrosplenic fistula due to diffuse large B-cell lymphoma: case report

Background Gastrosplenic fistula (GSF) is a rare complication of various benign and malignant etiologies. Splenic lymphoma is the most common cause of GSF. Most cases are due to diffuse large B-cell lymphoma (DLBCL). Case presentation A 39-year-old male patient presented at the emergency department...

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Published inEgyptian Journal of Radiology and Nuclear Medicine Vol. 55; no. 1; pp. 46 - 3
Main Authors Elsahhar, Ahmed, Salem, Amr Muhammad Abdo, Gomaa, Nada, Arafa, Maha, Elsahhar, Ghada
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.12.2024
Springer
Springer Nature B.V
SpringerOpen
Subjects
Abdomen
Abscess
Abscesses
Cancer
Case Report
Case reports
Catheters
Chemotherapy
Computed tomography
Consent
Crohns disease
Development and progression
DLBCL
Endoscopy
Etiology
Fistula
Gastrosplenic fistula
Imaging
Interventional Radiology
Lymphoma
Lymphomas
Medicine
Medicine & Public Health
Nuclear Medicine
Patients
Radiology
Spleen
Stomach
Stomach cancer
Systematic review
Gastrosplenic fistula
DLBCL
Case report
Computed tomography
Lymphoma
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Summary:Background Gastrosplenic fistula (GSF) is a rare complication of various benign and malignant etiologies. Splenic lymphoma is the most common cause of GSF. Most cases are due to diffuse large B-cell lymphoma (DLBCL). Case presentation A 39-year-old male patient presented at the emergency department with left upper quadrant abdominal pain. CT scan showed necrotic splenic mass with fistulous tract between the spleen and the gastric cavity. The patient underwent splenectomy and partial gastrectomy. The histopathological diagnosis was DLBCL. Conclusions Gastrosplenic fistula is a rare complication of diffuse large B-cell lymphoma. Radiologists should be aware of it and consider it in the diagnosis.
ISSN:0378-603X
2090-4762
DOI:10.1186/s43055-024-01217-y