Gastrosplenic fistula in Hodgkin's lymphoma treated successfully by laparoscopic surgery and chemotherapy
A gastrosplenic fistula is a rare complication of a gastric or splenic lesion. We report a case of Hodgkin's lymphoma nodular sclerosis involving the spleen that was complicated by spontaneous gastrosplenic fistula. The fistula was closed laparoscopically, and the patient underwent partial gast...
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| Veröffentlicht in: | Saudi medical journal 2007-12, Vol.28 (12), p.1898-1900 |
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| container_issue | 12 |
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| container_title | Saudi medical journal |
| container_volume | 28 |
| creator | AL-ASHGAR, Hamadl KHAN, Mohammed Q GHAMDI, Abdnallah M BAMEHRIZ, Fahad Y MAGHFOOR, Irfan |
| description | A gastrosplenic fistula is a rare complication of a gastric or splenic lesion. We report a case of Hodgkin's lymphoma nodular sclerosis involving the spleen that was complicated by spontaneous gastrosplenic fistula. The fistula was closed laparoscopically, and the patient underwent partial gastrectomy and gastric wall repair, followed by successful chemotherapy. This is also the first reported case in published literature where closure of gastrosplenic fistula and partial gastrectomy was carried out laparoscopically. We recommend that extensive open surgical procedures including total gastrectomy, splenectomy, and pancreatectomy may be avoided in the management of gastrosplenic fistula, and the patient could be managed by less radical, simple laparoscopic fistulectomy, with partial gastric resection. If the fistula is caused by a malignant process, the surgical repair should be followed by definitive treatment with chemotherapy and radiotherapy. |
| format | Article |
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We report a case of Hodgkin's lymphoma nodular sclerosis involving the spleen that was complicated by spontaneous gastrosplenic fistula. The fistula was closed laparoscopically, and the patient underwent partial gastrectomy and gastric wall repair, followed by successful chemotherapy. This is also the first reported case in published literature where closure of gastrosplenic fistula and partial gastrectomy was carried out laparoscopically. We recommend that extensive open surgical procedures including total gastrectomy, splenectomy, and pancreatectomy may be avoided in the management of gastrosplenic fistula, and the patient could be managed by less radical, simple laparoscopic fistulectomy, with partial gastric resection. If the fistula is caused by a malignant process, the surgical repair should be followed by definitive treatment with chemotherapy and radiotherapy.</description><identifier>ISSN: 0379-5284</identifier><identifier>PMID: 18060225</identifier><identifier>CODEN: SAMJDI</identifier><language>eng</language><publisher>Riyadh: Saudi Medical Journal</publisher><subject>Adolescent ; Antineoplastic Agents - therapeutic use ; Biological and medical sciences ; Female ; Gastric Fistula - etiology ; Gastric Fistula - therapy ; General aspects ; Hematologic and hematopoietic diseases ; Hodgkin Disease - complications ; Hodgkin Disease - drug therapy ; Hodgkin Disease - surgery ; Humans ; Laparoscopy ; Leukemias. Malignant lymphomas. Malignant reticulosis. 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We report a case of Hodgkin's lymphoma nodular sclerosis involving the spleen that was complicated by spontaneous gastrosplenic fistula. The fistula was closed laparoscopically, and the patient underwent partial gastrectomy and gastric wall repair, followed by successful chemotherapy. This is also the first reported case in published literature where closure of gastrosplenic fistula and partial gastrectomy was carried out laparoscopically. We recommend that extensive open surgical procedures including total gastrectomy, splenectomy, and pancreatectomy may be avoided in the management of gastrosplenic fistula, and the patient could be managed by less radical, simple laparoscopic fistulectomy, with partial gastric resection. If the fistula is caused by a malignant process, the surgical repair should be followed by definitive treatment with chemotherapy and radiotherapy.</description><subject>Adolescent</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Gastric Fistula - etiology</subject><subject>Gastric Fistula - therapy</subject><subject>General aspects</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Hodgkin Disease - complications</subject><subject>Hodgkin Disease - drug therapy</subject><subject>Hodgkin Disease - surgery</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Medical sciences</subject><subject>Splenic Diseases - etiology</subject><subject>Splenic Diseases - therapy</subject><issn>0379-5284</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0D1PwzAUheEMIFoKfwF5AaZIjuM69ogqaJEqsXSPrr9ag5MY32TIv6cSRUxnefQO56pY0rpR5ZpJvihuET8prYWg4qZYVJIKyth6WYQt4JgHTNH1wRAfcJwikNCT3WCPX6F_RhLnLp2GDsiYHYzOEpyMcYh-inEmeiYREpwbZkjnBE756PJMoLfEnFw3jCeXIc13xbWHiO7-sqvi8PZ62OzK_cf2ffOyL1Ml1Fhy66hppNaNYp7VDVDJOAhfAa08rGtNPadcV07yWnNBpWXUMiaspI5rX6-Kp99sysP35HBsu4DGxQi9GyZshaKcC6XO8OECJ90526YcOshz-_fNGTxeAKCB6DP0JuC_U0oqxpr6B2PFbnM</recordid><startdate>20071201</startdate><enddate>20071201</enddate><creator>AL-ASHGAR, Hamadl</creator><creator>KHAN, Mohammed Q</creator><creator>GHAMDI, Abdnallah M</creator><creator>BAMEHRIZ, Fahad Y</creator><creator>MAGHFOOR, Irfan</creator><general>Saudi Medical Journal</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20071201</creationdate><title>Gastrosplenic fistula in Hodgkin's lymphoma treated successfully by laparoscopic surgery and chemotherapy</title><author>AL-ASHGAR, Hamadl ; KHAN, Mohammed Q ; GHAMDI, Abdnallah M ; BAMEHRIZ, Fahad Y ; MAGHFOOR, Irfan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p169t-4de0c78bb792f237a0824a6f1a01fa53b0f404b1e843b4608d20d226d80e4bf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Antineoplastic Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Gastric Fistula - etiology</topic><topic>Gastric Fistula - therapy</topic><topic>General aspects</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Hodgkin Disease - complications</topic><topic>Hodgkin Disease - drug therapy</topic><topic>Hodgkin Disease - surgery</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Medical sciences</topic><topic>Splenic Diseases - etiology</topic><topic>Splenic Diseases - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>AL-ASHGAR, Hamadl</creatorcontrib><creatorcontrib>KHAN, Mohammed Q</creatorcontrib><creatorcontrib>GHAMDI, Abdnallah M</creatorcontrib><creatorcontrib>BAMEHRIZ, Fahad Y</creatorcontrib><creatorcontrib>MAGHFOOR, Irfan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Saudi medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AL-ASHGAR, Hamadl</au><au>KHAN, Mohammed Q</au><au>GHAMDI, Abdnallah M</au><au>BAMEHRIZ, Fahad Y</au><au>MAGHFOOR, Irfan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gastrosplenic fistula in Hodgkin's lymphoma treated successfully by laparoscopic surgery and chemotherapy</atitle><jtitle>Saudi medical journal</jtitle><addtitle>Saudi Med J</addtitle><date>2007-12-01</date><risdate>2007</risdate><volume>28</volume><issue>12</issue><spage>1898</spage><epage>1900</epage><pages>1898-1900</pages><issn>0379-5284</issn><coden>SAMJDI</coden><abstract>A gastrosplenic fistula is a rare complication of a gastric or splenic lesion. We report a case of Hodgkin's lymphoma nodular sclerosis involving the spleen that was complicated by spontaneous gastrosplenic fistula. The fistula was closed laparoscopically, and the patient underwent partial gastrectomy and gastric wall repair, followed by successful chemotherapy. This is also the first reported case in published literature where closure of gastrosplenic fistula and partial gastrectomy was carried out laparoscopically. We recommend that extensive open surgical procedures including total gastrectomy, splenectomy, and pancreatectomy may be avoided in the management of gastrosplenic fistula, and the patient could be managed by less radical, simple laparoscopic fistulectomy, with partial gastric resection. If the fistula is caused by a malignant process, the surgical repair should be followed by definitive treatment with chemotherapy and radiotherapy.</abstract><cop>Riyadh</cop><pub>Saudi Medical Journal</pub><pmid>18060225</pmid><tpages>3</tpages></addata></record> |
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| ispartof | Saudi medical journal, 2007-12, Vol.28 (12), p.1898-1900 |
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| subjects | Adolescent Antineoplastic Agents - therapeutic use Biological and medical sciences Female Gastric Fistula - etiology Gastric Fistula - therapy General aspects Hematologic and hematopoietic diseases Hodgkin Disease - complications Hodgkin Disease - drug therapy Hodgkin Disease - surgery Humans Laparoscopy Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis Medical sciences Splenic Diseases - etiology Splenic Diseases - therapy |
| title | Gastrosplenic fistula in Hodgkin's lymphoma treated successfully by laparoscopic surgery and chemotherapy |
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