Abstract
A gastro-splenic fistula is a rare complication of lymphoma, the etiology of which is poorly understood due to the narrow spectrum of cases. Additional case reports of this complication allow for increased understanding to facilitate treatment planning. This case report provides our detailed patient scenario and surgical approach to a gastro-splenic fistula in the setting of large B-cell lymphoma and compares this approach to similar cases provided in the literature review
Highlights
A gastro-splenic fistula (GSF) is usually a direct manifestation of lymphoma, splenic lymphoma or gastric large cell lymphoma [1, 2]
The characteristics of GSF occurring in lymphoma patients are elusive due to the extreme infrequency; this case report and review of the literature aims to provide insight on this topic
We present a case of a gastrosplenic fistula as a result of large B-cell lymphoma that was corrected through laparoscopic sleeve gastrectomy followed shortly by postoperative chemotherapy
Summary
A gastro-splenic fistula (GSF) is usually a direct manifestation of lymphoma, splenic lymphoma or gastric large cell lymphoma [1, 2]. The characteristics of GSF occurring in lymphoma patients are elusive due to the extreme infrequency; this case report and review of the literature aims to provide insight on this topic. We present a case of a gastrosplenic fistula as a result of large B-cell lymphoma that was corrected through laparoscopic sleeve gastrectomy followed shortly by postoperative chemotherapy. Undergone coronary artery bypass grafting a year prior to presentation. His primary care physician had initially referred him for EGD and colonoscopy, both of which were negative for any obvious pathology. Abnormal laboratory studies were significant for elevated LDH and anemia
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