Gastrosplenic fistula due to splenic lymphoma: two case reports and review of the literature.
J Med Case Rep
; 18(1): 136, 2024 Mar 07.
Article
em En
| MEDLINE
| ID: mdl-38449048
ABSTRACT
BACKGROUND:
Gastrosplenic fistula is a rare and potentially fatal complication of various conditions. Lymphoma is the most common cause. It can occur spontaneously or after chemotherapy. Gastrosplenic fistula diagnosis can be confused with a splenic abscess because of the presence of air into the mass. The computed tomography identification of the fistulous tract is the key to a right diagnosis. Treatment modalities include surgical resection, chemotherapy, or a combination of both. CASE PRESENTATION Here we report two patients with gastrosplenic fistula due to diffuse large B cell lymphoma. The first patient was a 54-year-old Caucasian woman with an enormous primary splenic diffuse large B cell lymphoma leading to the development of a spontaneous fistula in the stomach. The second patient was a 48-year-old Caucasian male patient with an enormous splenic diffuse large B cell lymphoma complicated by fistula after chemotherapy. Both patients died of septic shock several days after surgery.CONCLUSION:
Gastrosplenic fistula is a rare complication with a poor-prognosis, for which surgery is currently the preferred treatment.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Esplenopatias
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Linfoma Difuso de Grandes Células B
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Abscesso Abdominal
/
Fístula
Limite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article