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{
    "pk": 34864,
    "title": "Gastrosplenic Fistula in the Setting of Undiagnosed Lymphoma: A Case Report",
    "subtitle": null,
    "abstract": "<p>Introduction: A gastrosplenic fistula (GSF) is a pathologic connection between the spleen and stomach that can lead to life threatening complications.  A GSF can arise spontaneously but is often secondary to a variety of etiologies.  Most commonly, GSFs arise from gastric or splenic non-Hodgkin’s diffuse large B-cell lymphomas.  Only 46 cases of GSFs have been published to date and due to its rarity, extensive literature review is insufficient for characterization of GSFs. </p>\n<p>Case Report: This case discusses a patient with intermittent abdominal pain and weight loss which led to the diagnosis and treatment of a gastrosplenic fistula (GSF) and diffuse large B-cell lymphoma (DLBCL).  The patient later went into remission for his DLBCL but succumbed to respiratory failure from a secondary abdominal-pleural fistula formation. GSFs have the potential to cause fatal massive upper gastrointestinal hemorrhages, infections, fistulas, or obstructions.  Delayed diagnosis corresponds with a higher morbidity and mortality; thus, prompt detection and treatment are imperative.  The management of GSFs is complex due to their rare nature and requires a multidisciplinary approach to care. </p>\n<p>Conclusion: The intention of this report is to provide information and increase awareness of GSFs in the medical community to facilitate their diagnosis.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report"
        },
        {
            "word": "fistula"
        },
        {
            "word": "splenomegaly"
        },
        {
            "word": "lymphoma"
        },
        {
            "word": "psoriasis"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9m8238zt",
    "frozenauthors": [
        {
            "first_name": "Mackenzie",
            "middle_name": "",
            "last_name": "Lecher",
            "name_suffix": "",
            "institution": "Edward Via College of Osteopathic Medicine, Department of Emergency Medicine, Spartanburg, South Carolina",
            "department": ""
        },
        {
            "first_name": "Brian",
            "middle_name": "",
            "last_name": "Lecher",
            "name_suffix": "",
            "institution": "Faster Care Inc, Urgent Care, Sumter, South Carolina",
            "department": ""
        },
        {
            "first_name": "Lindsay",
            "middle_name": "",
            "last_name": "Tjiattas-Saleski",
            "name_suffix": "",
            "institution": "Edward Via College of Osteopathic Medicine, Department of Emergency Medicine, Spartanburg, South Carolina",
            "department": ""
        }
    ],
    "date_submitted": "2024-08-26T22:15:02.893000-04:00",
    "date_accepted": "2024-12-17T20:02:06.511000-03:00",
    "date_published": "2025-02-26T20:23:00-03:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/34864/galley/35727/download/"
        }
    ]
}