# Colosplenic Fistula Following Splenic Embolization in a Sickle Cell Disease Patient

## TL;DR

A rare case of a colosplenic fistula following splenic embolization in a sickle cell disease patient is reported, emphasizing the importance of early detection.

## Contribution

The paper presents a rare complication of colosplenic fistula after splenic embolization in a sickle cell disease patient.

## Key findings

- The patient's spleen was entirely replaced by an abscess cavity.
- Intraoperative findings confirmed the presence of colosplenic fistulae.
- Splenectomy and colonic resection were required to address the complication.

## Abstract

This case report details a rare instance of a colosplenic fistula following splenic embolization in a patient with sickle cell disease. The patient, a 29-year-old female, presented with symptoms of left hypochondrial pain and fever. Imaging revealed a splenic abscess characterized by an air-fluid level. Intraoperative observations disclosed that the spleen was entirely replaced by an abscess cavity, with the presence of colosplenic fistulae. A splenectomy and colonic resection were performed. This report highlights a rare complication that occurred a long time after splenic embolization, underscoring the need for a high level of suspicion to prevent serious complications.