# Gastrosplenic Fistula with Thoracic Extension as a Complication of Primary Splenic Lymphoma

**Authors:** Diogo Carvalho, Luis Cabral, João Caldeira

PMC · DOI: 10.5334/jbsr.4186 · 2026-03-05

## TL;DR

A rare complication of splenic lymphoma, gastrosplenic fistula, can be detected early using CT scans, which also show thoracic involvement.

## Contribution

Highlights the use of CT for early diagnosis and assessment of thoracic extension in gastrosplenic fistula from splenic lymphoma.

## Key findings

- Computed tomography can detect gastrosplenic fistulas early.
- CT also identifies thoracic or diaphragmatic extension, aiding timely management.

## Abstract

Teaching point: Gastrosplenic fistula, a rare complication of splenic lymphoma, can be diagnosed early with computed tomography (CT), which also delineates diaphragmatic or thoracic extension, facilitating timely management and preventing further thoracoabdominal involvement.

## Full-text entities

- **Genes:** CRP (C-reactive protein) [NCBI Gene 1401] {aka PTX1}
- **Diseases:** atelectasis (MESH:D001261), necrosis (MESH:D009336), GSF (MESH:D005402), septic shock (MESH:D012772), diffuse large B-cell lymphoma (MESH:D016403), sepsis (MESH:D018805), Primary Splenic Lymphoma (MESH:D008223), splenic tumor (MESH:D013160), tumor (MESH:D009369), dyspnea (MESH:D004417), abdominal pain (MESH:D015746), splenic abscess (MESH:D000038), inflammatory (MESH:D007249), fever (MESH:D005334), vomiting (MESH:D014839), nausea (MESH:D009325), diaphragmatic defect (MESH:D065630), hydropneumothorax (MESH:D006872)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12962247/full.md

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Source: https://tomesphere.com/paper/PMC12962247