Gastrosplenocolic fistula secondary to non-Hodgkin B-cell lymphoma. Issue 1 (13th January 2020)

• Record Type: Journal Article
• Authors: Yokoyama, Yujiro; Kashyap, Sarang; Ewing, Edward; Bloch, Robert
• Is Part Of: Journal of surgical case reports. Volume 2020:Issue 1(2020)
• Publication Date: 2020-01-13
• Subjects: gastrocolic fistula -- splenocolonic fistula -- gastrosplenocolic fistula -- diffuse non-Hodgkin large B-cell lymphoma; Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjz376
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Gastrocolic fistula (GSF) is a rare entity that arises mainly from splenic or gastric lymphoma. Gastric and splenic lymphomas can also fistulate with other organs, including the pleura and the colon, but there has been no reported case to best of our knowledge of a fistula involving three different organs. We hereby present the case of a female patient with gastrosplenocolic fistula secondary to non-Hodgkin B-cell lymphoma. We performed an en bloc partial gastrectomy with splenectomy and partial left colon resection with colostomy. GSF can be treated with chemotherapy. However, when the definite diagnosis is unclear or GSF is causing serious complications such as bleeding or active infection, we believe surgical excision is the treatment of choice.