Open AccessLymphoma Causing Gastrosplenic Fistula Revealed by FDG PET/CT
Author(s) -
Trent P Wang,
Mohan Doss,
Jeffrey L. Tokar,
Sanjay S. Reddy,
Stefan K. Barta,
Jinpu Yu
Publication year - 2017
Publication title -
clinical nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.637
H-Index - 57
eISSN - 1536-0229
pISSN - 0363-9762
DOI - 10.1097/rlu.0000000000001801
Subject(s) - medicine , lymphoma , fistula , radiology , curvatures of the stomach , abscess , stomach , spleen , lymph node , pathological , lymph , biopsy , surgery , pathology
A 73-year-old man presented with fatigue and weight loss. He had CT-proven splenic mass with fistulous connection to the greater curvature of the stomach, which suggested abscess. FDG PET/CT confirmed gastrosplenic fistula in addition to active lymph nodes in the gastrohepatic ligament and epigastric region. Pathological examination after the biopsy of the spleen was consistent with diffuse large B-cell lymphoma. Chemotherapy was administered with close clinical follow-up and resulted in the resolution of fistula without requirement for surgery.