Gastro-splenic fistula as a complication of chemotherapy for large B cell lymphoma

Sergio Gentilli, Alberto Oldani, Manuela Zanni, Erika Ferreri, Alfonso Terrone, Guido Valente, Pietro Occhipinti

Risultato della ricerca: Contributo su rivistaArticolo in rivistapeer review

Abstract

AIM: Gastro-splenic fistula is a rare entity in which malignant tumors are the primary cause, followed by perforated peptic ulcers and Crohn's disease.

CASE REPORT: A 66 years old patient undergoing chemotherapy for gastric large cells B lymphoma presented fever, fatigue and worsening of general conditions. A CT scan showed the presence of an abdominal abscess resulting from a pathological communication between stomach and spleen.

RESULTS: En - bloc splenectomy and gastric wedge resection was performed; gastric wall was sutured with a linear stapler. Postoperative stay was uneventful; alimentation was restarted 5 days after the surgical procedure, and the patient was discharged 2 days later

CONCLUSION: We have described an unusual case of gastric fistula complicating chemotherapy early diagnosed and successfully treated.

KEY WORDS: Chemothera Gastrosplenic fistula, Lymphoma, Surgery.

Lingua originaleInglese
RivistaAnnali Italiani di Chirurgia
Volume87
Stato di pubblicazionePubblicato - 26 lug 2016

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