1. Gastro-Splenic Fistula Related to Large B Cell Lymphoma.
- Author
-
Triantafyllopoulou, Diana, Gkikas, Ioannis, Adiyodi, Jagdish, Crossingham, Iain, Al-Islam, Shofiq, Alam, Muhammad Shahbaz, Sahasrabudhe, Neil, Kausar, Ambareen, Ayub, Ali Bin, Cowburn, Hazel, Fox, Lisa, Punekar, Maqsood, Macheta, Marian, and Tooze, Reuben
- Subjects
DIFFUSE large B-cell lymphomas ,FISTULA ,GASTROSCOPY ,ABDOMINAL diseases ,COMPUTED tomography - Abstract
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. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF