Spontaneous gastrosplenic fistula in primary gastric lymphoma: case report and review of literature

Puppala, Sapna; Williams, R. G.; Harvey, John S.; Crane, M

doi:10.1016/j.cradex.2004.11.001

Cited by 14 publications

(11 citation statements)

References 10 publications

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“…Therefore, we reviewed the full text of all 23 articles, including 2 written in Spanish and 1 written in Korean. Search of the bibliographies of these articles found two, additional, eligible studies[ 8 , 14 ]. Therefore, a total of 25 articles were included in our systematic review.…”

Section: Resultsmentioning

confidence: 99%

Gastrosplenic fistula occurring in lymphoma patients: Systematic review with a new case of extranodal NK/T-cell lymphoma

Kang¹,

Huh²,

Lee³

et al. 2017

WJG

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AIMTo provide the overall spectrum of gastrosplenic fistula (GSF) occurring in lymphomas through a systematic review including a patient at our hospital.METHODSA comprehensive literature search was performed in the MEDLINE database to identify studies of GSF occurring in lymphomas. A computerized search of our institutional database was also performed. In all cases, we analyzed the clinicopathologic/radiologic features, treatment and outcome of GSF occurring in lymphomas.RESULTSA literature search identified 25 relevant studies with 26 patients. Our institutional data search added 1 patient. Systematic review of the total 27 cases revealed that GSF occurred mainly in diffuse, large B-cell lymphoma (n = 23), but also in diffuse, histiocytic lymphoma (n = 1), Hodgkin’s lymphoma (n = 2), and NK/T-cell lymphoma (n = 1, our patient). The common clinical presentations are constitutional symptoms (n = 20) and abdominal pain (n = 17), although acute gastrointestinal bleeding (n = 6) and infection symptoms due to splenic abscess (n = 3) are also noted. In all patients, computed tomography scanning was very helpful for diagnosing GSF and for evaluating the lymphoma extent. GSF could occur either post-chemotherapy (n = 10) or spontaneously (n = 17). Surgical resection has been the most common treatment. Once patients have recovered from the acute illness status after undergoing surgery, their long-term outcome has been favorable.CONCLUSIONThis systematic review provides an overview of GSF occurring in lymphomas, and will be helpful in making physicians aware of this rare disease entity.

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Section: Resultsmentioning

confidence: 99%

Gastrosplenic fistula occurring in lymphoma patients: Systematic review with a new case of extranodal NK/T-cell lymphoma

Kang¹,

Huh²,

Lee³

et al. 2017

WJG

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“…Multislice CT provides the best imaging modality to identify gastrosplenic fistulas10 14 due to excellent spatial resolution and accurate staging of lesions. The clinical presentation of our patient coupled with the absence of any significant past medical history or evidence of endocarditis helped to exclude other differential diagnoses such as necrotising splenic abscess.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous gastrosplenic fistula secondary to primary splenic lymphoma

Khan¹,

Vessal

McKimm

et al. 2010

Case Reports

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A gastrosplenic fistula is a rare complication of gastric and splenic lymphomas which can occur spontaneously or secondary to chemotherapy. We report a case of a spontaneous gastrosplenic fistula secondary to a diffuse splenic large B cell lymphoma in a previously well 43-year-old patient. CT imaging demonstrated the fistula, which was subsequently managed with chemotherapy. The clinical management of this rare condition is discussed with a review of the literature.

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Other etiologies include benign gastric ulcers, [16][17][18]22 colorectal adenocarcinoma, 19 gastric adenocarcinoma, 25 splenic abscess, 23,24 Crohn's disease, 20 and trauma. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Other etiologies include benign gastric ulcers, [16][17][18]22 colorectal adenocarcinoma, 19 gastric adenocarcinoma, 25 splenic abscess, 23,24 Crohn's disease, 20 and trauma.…”

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confidence: 99%

“…GSF is more likely to occur spontaneously in patients with lymphoma (seen A B in eight of the 15 case reports); however, there are six reports of fistulas that developed following recent treatment with chemotherapy, 2,5,6,10,12,15 suggesting that rapid tumor cell death in the context of gastric wall infiltration can contribute to the evolution of this complication. 13 CT scans provided the definitive diagnosis of GSF in nine of the 15 patients withlymphoma, while, endoscopy and upper GI only provided definitive diagnoses of GSF in one and two cases, respectively. 6 The most common presenting signs and symptoms of GSF in patients with lymphoma are left upper quadrant or epigastric pain (60% of patients) and weight loss (53% of patients).…”

mentioning

confidence: 99%