{Reference Type}: Review
{Title}: Gastrosplenic fistula due to splenic lymphoma: two case reports and review of the literature.
{Author}: Ksontini FL;Zaimi Y;Nefzi I;Khrouf S;Ayari M;Sghaier S;Zidi A;Magherbi H;Ayadi M;
{Journal}: J Med Case Rep
{Volume}: 18
{Issue}: 1
{Year}: 2024 Mar 7
暂无{DOI}: 10.1186/s13256-024-04441-2
{Abstract}: <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>CONCLUSIONS: </B>Gastrosplenic fistula is a rare complication with a poor-prognosis, for which surgery is currently the preferred treatment.