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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr0420102932.
Published online Oct 21, 2010. doi:  10.1136/bcr.04.2010.2932
PMCID: PMC3029570
Unusual association of diseases/symptoms
Spontaneous gastrosplenic fistula secondary to primary splenic lymphoma
Faraan Khan,1 Sheida Vessal,2 Eister McKimm,1 and Raymond D'Souza3
1Department of General Medicine, Barnet and Chase Farm NHS Trust, London, UK
2Department of Radiology, Barnet and Chase Farm NHS Trust, London, UK
3Department of Gastroenterology, Barnet and Chase Farm NHS Trust, London UK
Correspondence to Faraan Khan, Faraan/at/
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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