Colosplenic Fistula Following Splenic Embolization in a Sickle Cell Disease Patient

This case report details a rare instance of a colosplenic fistula following splenic embolization in a patient with sickle cell disease. The patient, a 29-year-old female, presented with symptoms of left hypochondrial pain and fever. Imaging revealed a splenic abscess characterized by an air-fluid le...

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Bibliographic Details
Published in:Cureus 2024, Vol.16 (5), p.e61011-e61011
Main Authors: Al Jabri, Abdullah, Al Masrouri, Safiya, Al Adawi, Humaid, Al Qadhi, Hani
Format: Report
Language:English
Online Access:Get full text
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Summary:This case report details a rare instance of a colosplenic fistula following splenic embolization in a patient with sickle cell disease. The patient, a 29-year-old female, presented with symptoms of left hypochondrial pain and fever. Imaging revealed a splenic abscess characterized by an air-fluid level. Intraoperative observations disclosed that the spleen was entirely replaced by an abscess cavity, with the presence of colosplenic fistulae. A splenectomy and colonic resection were performed. This report highlights a rare complication that occurred a long time after splenic embolization, underscoring the need for a high level of suspicion to prevent serious complications.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.61011