Hand-assisted laparoscopic approach for the treatment of gastrosplenic fistula: A case report and review of the literature

Gastrosplenic fistula is a rare complication of gastric or splenic lymphoma. Here we report the case of a 48 years old man who developed a gastrosplenic fistula secondary to splenic diffuse large B-cell lymphoma, successfully managed with hand-assisted laparoscopic splenectomy and gastric wedge rese...

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Bibliographic Details
Published in:Laparoscopic, endoscopic, and robotic surgery endoscopic, and robotic surgery, 2020-12, Vol.3 (4), p.120-125
Main Authors: Gallo, Virginia, Pugliese, Luigi, Latteri, Francesco S., Peri, Andrea
Format: Article
Language:English
Subjects:
Diffuse large B-cell lymphoma
Gastrosplenic fistula
Hand-assisted laparoscopy
Splenectomy
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Summary:Gastrosplenic fistula is a rare complication of gastric or splenic lymphoma. Here we report the case of a 48 years old man who developed a gastrosplenic fistula secondary to splenic diffuse large B-cell lymphoma, successfully managed with hand-assisted laparoscopic splenectomy and gastric wedge resection. A review of the available literature is also presented, 33 cases of gastrosplenic fistula associated to gastric or splenic lymphoma were found, of which 25 were treated surgically. This case represents the first report of laparoscopic treatment of lymphoma-related gastrosplenic fistula described to our knowledge in the available literature.
ISSN:2468-9009
2468-9009
DOI:10.1016/j.lers.2020.09.001