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BMJ Case Rep. 2010; 2010: bcr0420102932.
Published online 2010 October 21. doi:  10.1136/bcr.04.2010.2932
PMCID: PMC3029570
Unusual association of diseases/symptoms

Spontaneous gastrosplenic fistula secondary to primary splenic lymphoma


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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