Gastro-splenic fistula due to B-cell lymphoma. Case report
DOI:
https://doi.org/10.47464/MetroCiencia/vol28/1/2020/20-24Keywords:
Splenic abscess, B cell lymphoma, gastrosplenic fistulaAbstract
Splenic abscess is a rare condition with a low incidence (0,2 to 0,7%). It is important to individualize treatment, seek its source and offer the patient the best management. Until a few years ago a splenic abscess was always treated with splenectomy. Nowadays, due to the important immune function of the spleen surgical removal is the last alternative. Initially medical treatment with broad spectrum antibiotics should be attempted. The next step is usually tomography-guided drainage. The last step used if other methods fail is splenectomy. In this article we present a case of a patient with a large splenic abscess (550 ml approximately) from the upper pole secondary to B cell lymphoma that fistulized towards the gastric fundus. We reviewed the current medical literature regarding this pathology and the current treatment algorithm.
Downloads
References
Martínez JD, Moya L, Hernández G, Viola L. Gastrosplenic fistula secondary to gastric adenocarcinoma. Rev Gastroenterol. Peru. 2015;35(2):165-167.
Awotar GK, et al. Splenic abscess owing to cancer at the splenic flexure: A case report and comprehensive review. Medicine (Baltimore). PubMed. Septiembre, 2016. doi: 10.1097/MD.0000000000004941
Lamsfus-Prieto JA, Membrilla-Fernández E, Garcés-Jarque JM. Prevención de la sepsis en pacientes esplenectomizados. Revista Cirugía Española 2007;81(5):247-251.
Ga MR, et al. El bazo: cementerio de leucocitos y de conocimientos radiológicos. An Radiol México, 2016;15(1):58-69.
Alonso AG, et al. omplicaciones de la esplenectomía. Análisis de nuestra casuística. Revista Cirugía Española, 2001;pp.38-44.
Leeds IL, Haut ER, Barnett CC. Splenic abscess complicated by gastrosplenic fistula. J Trauma Acute Care Surg 2016;81(3):612-614.
Correa JC, Morales CH, Sanabria ÁE. Absceso esplénico: ¿drenaje percutáneo o esplenectomía? Rev Colomb Cir 2016;31:50-56.
Favre-Rizzo J, López-Tomassetti-Fernández E, Ceballos-Esparragón J, Santana-Cabrera L, Hernández-Hernández JR. Massive upper gastrointestinal bleeding secondary to gastrosplenic fistula. Rev Esp Enferm Dig 2014;224:871-872.
Sakrak KO, Yilmaz TU, Gultekin FA, Dursun A, Bedirli A. Spontaneous gastrosplenic fistula in primary gastric lymphoma: Surgical management. Asian J Surg 2006;29(4):287-290.
Jain V, Pauli E, Sharzehi K, Moyer M. Spontaneous gastrosplenic fistula secondary to diffuse large B-cell lymphoma. Gastrointest. Endosc 2011;73(3):608-609.
Maytapa J, Thanapirom K, Kullavanijaya P, Komolmit P. Gastrointestinal: Splenic abscesses-related gastrosplenic fistula: Unusual complication of melioidosis. J Gastroenterol Hepatol 2018;33(6):1163.
Frenkel A, et al. Management of gastrosplenic fistula in the emergency setting - A case report and review of the literature. Ann Med Surg 2018;29:26-29.
Sauter G, Hammond EH, Wolff AC, Hayes DF, Schwartz JN. Gastrosplenic fistula from Hodgkin’s lymphoma. Journal of Clinical Oncology 2009;27(30):2009-2010
Çulhaci N, Meteoğlu I, Kacar F, Özbas S. Case report: Abscess of the Spleen. Pathol Oncol Res 2004;10(4):234-236.
Al-Raimi K, Sen Zheng S. Postoperative outcomes after open splenectomy versus laparoscopic splenectomy in cirrhotic patients: A meta-analysis. Hepatobiliary Pancreat Dis Int 2016;15(1):14-20.
Aribas BK, Baskan E, Altinyollar H, Ungul U, Cengiz A, Erdil HF. Gastrosplenic fistula due to splenic large cell lymphoma diagnosed by percutaneous drainage before surgical. Turk J Gastroenterol 2008;19(1):69-70.
Choi JE, Chung HJ, Lee HG. Spontaneous gastrosplenic fistula: A rare complication of splenic diffuse large cell lymphoma. Abdom Imaging 2002;27(6):728-730.
Wang TP, Doss M, Tokar JL, Reddy S, Barta SK, Yu JQ: Lymphoma causing gastrosplenic fistula revealed by FDG PET/CT. Clin Nucl Med 2017;42(11):890-892.
Jain V, Paul, E, Sharzehi K, Moyer M. Spontaneous gastrosplenic fistula secondary to diffuse large B-cell lymphoma. 2010;73:608-609.
Sinwar PD. Overwhelming post splenectomy infection syndrome e Review study. Int J Surg 2014;12(1):1314-1316.
Di Sabatino A, et al. Vaccination coverage and mortality after splenectomy: results from an Italian single-centre study. Intern Emerg Med 2017.
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Felipe Pacheco Barzallo, Williams Arias Garzón, Felipe Pacheco Granda, Camila Pacheco Granda, Jhony Delgado Salazar
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
How to Cite
