Primary splenic diffuse large B-cell lymphoma presenting with a gastrosplenic fistula: Case report

Primary splenic diffuse large B-cell lymphoma (PS-DLBCL) is a rare manifestation of malignant lymphoma. Although DLBCL is the most common subtype of non-Hodgkin lymphoma, primary splenic involvement is uncommon. Additionally, a gastrosplenic fistula at initial presentation is even more rare and pose...

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Main Authors: Hurerah Nawaz, Josh Greaser, Irfan Amir Kazi, Ayesha Nasrullah
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324013414
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author Hurerah Nawaz
Josh Greaser
Irfan Amir Kazi
Ayesha Nasrullah
author_facet Hurerah Nawaz
Josh Greaser
Irfan Amir Kazi
Ayesha Nasrullah
author_sort Hurerah Nawaz
collection DOAJ
description Primary splenic diffuse large B-cell lymphoma (PS-DLBCL) is a rare manifestation of malignant lymphoma. Although DLBCL is the most common subtype of non-Hodgkin lymphoma, primary splenic involvement is uncommon. Additionally, a gastrosplenic fistula at initial presentation is even more rare and poses a diagnostic challenge for the radiologist. The clinical and imaging picture can be identical to a splenic abscess with a secondary gastrosplenic fistula formation (GSF), leading to a diagnostic conundrum. Hence, radiologists need to be familiar with this entity for correct diagnosis and appropriate clinical management.
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institution Kabale University
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publishDate 2025-03-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj-art-07f664b954c14786a0e1a75604b9310b2025-01-18T05:03:59ZengElsevierRadiology Case Reports1930-04332025-03-0120313591362Primary splenic diffuse large B-cell lymphoma presenting with a gastrosplenic fistula: Case reportHurerah Nawaz0Josh Greaser1Irfan Amir Kazi2Ayesha Nasrullah3RCSI - Medical University of Bahrain, Busaiteen, BahrainUniversity of Missouri, Columbia, MO, USADepartment of Radiology, University of Missouri, Columbia, MO, USADepartment of Radiology, University of Missouri, Columbia, MO, USA; Corresponding author.Primary splenic diffuse large B-cell lymphoma (PS-DLBCL) is a rare manifestation of malignant lymphoma. Although DLBCL is the most common subtype of non-Hodgkin lymphoma, primary splenic involvement is uncommon. Additionally, a gastrosplenic fistula at initial presentation is even more rare and poses a diagnostic challenge for the radiologist. The clinical and imaging picture can be identical to a splenic abscess with a secondary gastrosplenic fistula formation (GSF), leading to a diagnostic conundrum. Hence, radiologists need to be familiar with this entity for correct diagnosis and appropriate clinical management.http://www.sciencedirect.com/science/article/pii/S1930043324013414Gastrosplenic fistulaNecrotic splenic massFistulization
spellingShingle Hurerah Nawaz
Josh Greaser
Irfan Amir Kazi
Ayesha Nasrullah
Primary splenic diffuse large B-cell lymphoma presenting with a gastrosplenic fistula: Case report
Radiology Case Reports
Gastrosplenic fistula
Necrotic splenic mass
Fistulization
title Primary splenic diffuse large B-cell lymphoma presenting with a gastrosplenic fistula: Case report
title_full Primary splenic diffuse large B-cell lymphoma presenting with a gastrosplenic fistula: Case report
title_fullStr Primary splenic diffuse large B-cell lymphoma presenting with a gastrosplenic fistula: Case report
title_full_unstemmed Primary splenic diffuse large B-cell lymphoma presenting with a gastrosplenic fistula: Case report
title_short Primary splenic diffuse large B-cell lymphoma presenting with a gastrosplenic fistula: Case report
title_sort primary splenic diffuse large b cell lymphoma presenting with a gastrosplenic fistula case report
topic Gastrosplenic fistula
Necrotic splenic mass
Fistulization
url http://www.sciencedirect.com/science/article/pii/S1930043324013414
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