{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T07:52:34Z","timestamp":1773215554392,"version":"3.50.1"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T00:00:00Z","timestamp":1644451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Enteric fistulas commonly arise from inflammatory, infectious, or neoplastic processes. Colosplenic fistulas are rare with only several reported worldwide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>Herein, we present a case of colosplenic fistula in a 39-year-old gentleman with past history of rectal cancer previously in remission. He was admitted with severe abdominal pain and hemodynamic instability due to septic shock. The erect chest x-ray revealed pneumoperitoneum under the diaphragm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Laparotomy was performed and ileum perforation was managed by resection and anastomosis. The post-op recovery was complicated by a febrile episode. To locate the source of infection a contrasted abdominal computed tomography was ordered, confirming the presence of a splenic abscess, suggestive of colosplenic fistula. We proceeded with laparotomy for drainage of the abscess, with splenectomy and splenic flexure resections. He was discharged 40 days post-op at a pre-morbid state.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Due to the high prevalence of colon cancer worldwide, novel complications such as the one reported here, are important to be reflected on. We hope this case can exemplify the significance of higher index of suspicion in at risk patient groups by the surgical teams and appropriate training on acute management of this rare complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.106828","type":"journal-article","created":{"date-parts":[[2022,2,12]],"date-time":"2022-02-12T03:27:38Z","timestamp":1644636458000},"page":"106828","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Colosplenic fistula presentation in the context of undiagnosed colon cancer"],"prefix":"10.1097","volume":"92","author":[{"given":"Mohammad","family":"Ashouri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahra","family":"Kuhi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahra","family":"Ataie-Ashtiani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narjes","family":"Mohammadzadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-19-20260310","doi-asserted-by":"crossref","first-page":"2338","DOI":"10.1007\/s11605-012-2033-0","article-title":"Colosplenic fistula: a highly unusual colonic fistula","volume":"16","author":"Goldberg","year":"2012","journal-title":"J. Gastrointest. Surg"},{"key":"R2-19-20260310","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1007\/BF02562610","article-title":"Spontaneous colosplenic fistula complicating immunoblastic lymphoma","volume":"29","author":"Naschitz","year":"1986","journal-title":"Dis. Colon Rectum"},{"key":"R3-19-20260310","first-page":"323","article-title":"Splenic abscess secondary to a colosplenic fistula in Crohn's disease","volume":"107","author":"Pappalardo","year":"2007","journal-title":"Acta Chir. Belg"},{"key":"R4-19-20260310","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guidelines: updating consensus surgical consensus surgical case report (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R5-19-20260310","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/00004836-199507000-00016","article-title":"Colosplenic fistula and splenic abscess complicating Crohn's colitis","volume":"21","author":"Diana","year":"1995","journal-title":"J. Clin. Gastroenterol"},{"key":"R6-19-20260310","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1016\/S0221-0363(10)70184-0","article-title":"Splenic abscess secondary to a colosplenic fistula as the presenting manifestation of colon cancer","volume":"91","author":"Gervaise","year":"2010","journal-title":"J. Radiol"},{"key":"R7-19-20260310","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.ijscr.2012.04.013","article-title":"Colonic lymphoma presenting acutely with perforated colo-splenic fistula","volume":"3","author":"Al-Zahir","year":"2012","journal-title":"Int. J. Surg. Case Rep"},{"key":"R8-19-20260310","first-page":"224","article-title":"Colon invasion by primary splenic lymphoma: a case report and review of the literature","volume":"111","author":"Karpeh","year":"1992","journal-title":"Surgery"},{"key":"R9-19-20260310","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1097\/MPA.0b013e3181fe4ae3","article-title":"An unusual case of rectal bleeding: colosplenic fistula complicating pancreatitis","volume":"40","author":"Goldsmith","year":"2011","journal-title":"Pancreas"},{"key":"R10-19-20260310","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1097\/00004728-199707000-00031","article-title":"Colosplenic fistula in a patient treated with Interleukin-2 for malignant melanoma","volume":"21","author":"Chun","year":"1997","journal-title":"J. Comput. Assist. Tomogr"},{"key":"R11-19-20260310","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/S0002-9610(02)01210-2","article-title":"Splenocolic fistula in a patient with polycythemia vera","volume":"185","author":"Means","year":"2003","journal-title":"Am. J. Surg"},{"key":"R12-19-20260310","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1177\/1460408612458737","article-title":"Splenocolonic fistula following non-operative management of splenic rupture","volume":"15","author":"McCrystal","year":"2013","journal-title":"Trauma"},{"key":"R13-19-20260310","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1097\/DCR.0000000000000450","article-title":"Clinical practice guideline for the surgical management of Crohn's disease","volume":"58","author":"Strong","year":"2015","journal-title":"Dis. Colon Rectum"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222000748?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222000748?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.106828","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T10:01:39Z","timestamp":1773136899000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.106828"}},"subtitle":["Case report and review of literature"],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":13,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.106828","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}