Gastrosplenic fistula in Hodgkin's lymphoma treated successfully by laparoscopic surgery and chemotherapy.
Saudi Med J
; 28(12): 1898-900, 2007 Dec.
Article
em En
| MEDLINE
| ID: mdl-18060225
ABSTRACT
A gastrosplenic fistula is a rare complication of a gastric or splenic lesion. We report a case of Hodgkin's lymphoma nodular sclerosis involving the spleen that was complicated by spontaneous gastrosplenic fistula. The fistula was closed laparoscopically, and the patient underwent partial gastrectomy and gastric wall repair, followed by successful chemotherapy. This is also the first reported case in published literature where closure of gastrosplenic fistula and partial gastrectomy was carried out laparoscopically. We recommend that extensive open surgical procedures including total gastrectomy, splenectomy, and pancreatectomy may be avoided in the management of gastrosplenic fistula, and the patient could be managed by less radical, simple laparoscopic fistulectomy, with partial gastric resection. If the fistula is caused by a malignant process, the surgical repair should be followed by definitive treatment with chemotherapy and radiotherapy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esplenopatias
/
Doença de Hodgkin
/
Fístula Gástrica
Limite:
Adolescent
/
Female
/
Humans
Idioma:
En
Revista:
Saudi Med J
Ano de publicação:
2007
Tipo de documento:
Article