Carolin K A, Prakash S H, Silva Y J
Department of Surgery, North Oakland Medical Centers, Pontiac, Michigan 48341, USA.
Am Surg. 1997 Nov;63(11):1007-10.
A case is presented of a patient who developed a gastrosplenic fistula during a course of chemotherapy for differentiated histiocytic lymphoma. The fistula was observed during upper gastrointestinal endoscopy (gastroscopy) and confirmed by CT scan with contrast. The fistula was followed endoscopically and noted to have closed spontaneously with confirmed closure at laparotomy. The clinical management of this complication is discussed, and the literature pertaining to this rare condition is reviewed.
本文报告了一例在分化型组织细胞淋巴瘤化疗过程中发生胃脾瘘的患者。该瘘在进行上消化道内镜检查（胃镜检查）时被发现，并经增强CT扫描确诊。通过内镜对瘘进行随访，发现其已自行闭合，剖腹手术证实瘘已闭合。本文讨论了该并发症的临床处理方法，并对有关这种罕见病症的文献进行了综述。
