{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:05:27Z","timestamp":1753877127766,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T00:00:00Z","timestamp":1701820800000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gastrosplenic fistula (GSF) is an unusual event that might occur in patients with various gastric or splenic diseases. While GSF related to gastric and splenic malignancies is well-documented in the literature, cases of GSF due to a splenic abscess are extremely rare. We experienced the case of a 49-year-old man with a medical history of tricuspid cardiac valve replacement for infective endocarditis who presented with a sudden onset of anemia and melena. With the assistance of imaging and endoscopy, a primary splenic abscess complicated by spontaneous GSF was diagnosed. A prompt splenectomy with partial gastrectomy was performed. GSF is a serious occurrence associated with a high risk of morbidity and mortality. The early recognition of GSF related to a splenic abscess is crucial to prevent major complications. Surgical resection with splenectomy and partial gastrectomy is frequently preferred for the treatment of large abscesses with GSF.<\/jats:p>","DOI":"10.1093\/jscr\/rjad647","type":"journal-article","created":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T17:23:42Z","timestamp":1701969822000},"source":"Crossref","is-referenced-by-count":2,"title":["Splenic abscess with spontaneous gastrosplenic fistula: case report and review of the literature"],"prefix":"10.1093","volume":"2023","author":[{"given":"Andrea","family":"Campisi","sequence":"first","affiliation":[{"name":"Catholic University Fondazione Policlinico Universitario Agostino Gemelli, , Largo Francesco Vito 1, 00168 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6085-9296","authenticated-orcid":false,"given":"Lorenzo","family":"Rocca","sequence":"additional","affiliation":[{"name":"Catholic University Fondazione Policlinico Universitario Agostino Gemelli, , Largo Francesco Vito 1, 00168 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaia","family":"Altieri","sequence":"additional","affiliation":[{"name":"Catholic University Fondazione Policlinico Universitario Agostino Gemelli, , Largo Francesco Vito 1, 00168 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valeria","family":"Fico","sequence":"additional","affiliation":[{"name":"Catholic University Fondazione Policlinico Universitario Agostino Gemelli, , Largo Francesco Vito 1, 00168 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilda","family":"Pepe","sequence":"additional","affiliation":[{"name":"Catholic University Fondazione Policlinico Universitario Agostino Gemelli, , Largo Francesco Vito 1, 00168 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Lodoli","sequence":"additional","affiliation":[{"name":"Catholic University Fondazione Policlinico Universitario Agostino Gemelli, , Largo Francesco Vito 1, 00168 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,12,5]]},"reference":[{"key":"2023120711440696200_ref1","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1007\/s13193-022-01551-5","article-title":"Gastrosplenic fistula: a systematic review","volume":"13","author":"Borgharia","year":"2022","journal-title":"Indian J Surg Oncol"},{"key":"2023120711440696200_ref2","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.amsu.2018.03.025","article-title":"Management of gastrosplenic fistula in the emergency setting - a case report and review of the literature","volume":"29","author":"Frenkel","year":"2018","journal-title":"Ann Med Surg"},{"key":"2023120711440696200_ref3","first-page":"465","article-title":"Splenic abscess with gastrosplenic fistula: diagnosing pain in the left upper quadrant","volume":"37","author":"Kryshtalskyj","year":"1991","journal-title":"Can Fam Physician"},{"key":"2023120711440696200_ref4","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1111\/j.1744-1633.2005.00269.x","article-title":"Gastrosplenic fistula: a rare complication of splenic abscess","volume":"9","author":"Ballas","year":"2005","journal-title":"Surg Pract"},{"key":"2023120711440696200_ref5","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1097\/TA.0000000000001158","article-title":"Splenic abscess complicated by gastrosplenic fistula","volume":"81","author":"Leeds","year":"2016","journal-title":"J Trauma Acute Care Surg"},{"key":"2023120711440696200_ref6","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.ijscr.2019.02.039","article-title":"Gastro-splenic fistula, a rare presentation of sickle cell disease patient with splenic abscess: case report and literature review","volume":"57","author":"Alsinan","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"2023120711440696200_ref7","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/S0016-5107(04)02836-6","article-title":"Posttraumatic splenic abscess with gastrosplenic fistula","volume":"61","author":"Nikolaidis","year":"2005","journal-title":"Gastrointest Endosc"},{"key":"2023120711440696200_ref8","doi-asserted-by":"crossref","first-page":"168","DOI":"10.4166\/kjg.2015.66.3.168","article-title":"A case of splenic tuberculosis forming a gastro-splenic fistula","volume":"66","author":"Lee","year":"2015","journal-title":"Korean J Gastroenterol"},{"key":"2023120711440696200_ref9","doi-asserted-by":"crossref","first-page":"6491","DOI":"10.3748\/wjg.v23.i35.6491","article-title":"Gastrosplenic fistula occurring in lymphoma patients: systematic review with a new case of extranodal NK\/T-cell lymphoma","volume":"23","author":"Kang","year":"2017","journal-title":"World J Gastroenterol"},{"key":"2023120711440696200_ref10","first-page":"64","article-title":"Gastrosplenic fistula following chemotherapy for lymphoma","volume":"3","author":"Moghazy","year":"2008","journal-title":"Gulf J Oncolog"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/12\/rjad647\/54006807\/rjad647.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/12\/rjad647\/54006807\/rjad647.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T17:23:48Z","timestamp":1701969828000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjad647\/7458865"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12,5]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjad647","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2023,12]]},"published":{"date-parts":[[2023,12]]},"article-number":"rjad647"}}