Khan Faraan, Vessal Sheida, McKimm Eister, D'Souza Raymond
Department of General Medicine, Barnet and Chase Farm NHS Trust, London, UK.
BMJ Case Rep. 2010 Oct 21;2010:bcr0420102932. doi: 10.1136/bcr.04.2010.2932.
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.
胃脾瘘是胃和脾脏淋巴瘤的一种罕见并发症，可自发出现或继发于化疗。我们报告一例43岁既往健康患者，因弥漫性脾脏大B细胞淋巴瘤继发自发性胃脾瘘。CT成像显示了瘘管，随后对其进行了化疗治疗。本文结合文献复习讨论了这种罕见疾病的临床处理。
