Splenic abscess with spontaneous gastrosplenic fistula: case report and review of the literature.
- Resource Type
- Case Study
- Authors
- Campisi, Andrea; Rocca, Lorenzo; Altieri, Gaia; Fico, Valeria; Pepe, Gilda; Lodoli, Claudio
- Source
- Journal of Surgical Case Reports. Dec2023, Vol. 2023 Issue 12, p1-4. 4p.
- Subject
- *LITERATURE reviews
*ABSCESSES
*HEART valves
*TRICUSPID valve
*SURGICAL excision
*FISTULA
- Language
- ISSN
- 2042-8812
Gastrosplenic fistula (GSF) is an unusual event that might occur in patients with various gastric or splenic diseases. While GSF related to gastric and splenic malignancies is well-documented in the literature, cases of GSF due to a splenic abscess are extremely rare. We experienced the case of a 49-year-old man with a medical history of tricuspid cardiac valve replacement for infective endocarditis who presented with a sudden onset of anemia and melena. With the assistance of imaging and endoscopy, a primary splenic abscess complicated by spontaneous GSF was diagnosed. A prompt splenectomy with partial gastrectomy was performed. GSF is a serious occurrence associated with a high risk of morbidity and mortality. The early recognition of GSF related to a splenic abscess is crucial to prevent major complications. Surgical resection with splenectomy and partial gastrectomy is frequently preferred for the treatment of large abscesses with GSF. [ABSTRACT FROM AUTHOR]