CC BY 4.0 · European J Pediatr Surg Rep 2019; 07(01): e114-e116
DOI: 10.1055/s-0039-1678568
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Gastrosplenic Fistula without Malignancy Management in a 16-Year-Old Boy

Aila Malik
1  Medical College, CMH Lahore Medical College and Institute of Dentistry, Lahore, Pakistan
,
Chinwendu Onwubiko
2  Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Mike Chen
2  Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Andrei Radulescu
2  Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
3  Department of Surgery, Loma Linda University Adventist Health Sciences Center, Loma Linda, California, United States
,
David Galloway
4  Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Colin Martin
2  Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
› Author Affiliations
Further Information

Publication History

05 September 2018

30 December 2018

Publication Date:
13 December 2019 (online)

  

Abstract

Gastrosplenic fistula is a very rare entity, most commonly occurring as a distinctive complication of splenic or gastric malignancies, most notably diffuse large B cell lymphoma (DLBCL). Benign gastric ulcer, splenic abscess, and Crohn's disease have also been reported as possible causes. We report a nonmalignant case of 16-year–old male with a gastrosplenic fistula of unclear etiology. The fistulous tract was confirmed by an upper endoscopy and an upper gastrointestinal series. Subsequently, it was surgically managed with a subtotal gastrectomy with “Roux-en-Y” reconstruction and a feeding jejunostomy.