{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T14:07:19Z","timestamp":1758636439877,"version":"3.40.5"},"reference-count":0,"publisher":"California Digital Library (CDL)","issue":"2","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Practice and Cases in Emergency Medicine"],"abstract":"<p>Introduction: A gastrosplenic fistula (GSF) is a pathologic connection between the spleen and stomach that can lead to life threatening complications. A GSF can arise spontaneously but is often secondary to a variety of etiologies. Most commonly, GSFs arise from gastric or splenic non-Hodgkin\u2019s diffuse large B-cell lymphomas. Only 46 cases of GSFs have been published to date and due to its rarity, extensive literature review is insufficient for characterization of GSFs. Case Report: This case discusses a patient with intermittent abdominal pain and weight loss which led to the diagnosis and treatment of a gastrosplenic fistula (GSF) and diffuse large B-cell lymphoma (DLBCL). The patient later went into remission for his DLBCL but succumbed to respiratory failure from a secondary abdominal-pleural fistula formation. GSFs have the potential to cause fatal massive upper gastrointestinal hemorrhages, infections, fistulas, or obstructions. Delayed diagnosis corresponds with a higher morbidity and mortality; thus, prompt detection and treatment are imperative. The management of GSFs is complex due to their rare nature and requires a multidisciplinary approach to care. Conclusion: The intention of this report is to provide information and increase awareness of GSFs in the medical community to facilitate their diagnosis.<\/p>","DOI":"10.5811\/cpcem.34864","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T23:28:16Z","timestamp":1740612496000},"source":"Crossref","is-referenced-by-count":1,"title":["Gastrosplenic Fistula in the Setting of Undiagnosed Lymphoma: A Case Report"],"prefix":"10.5811","volume":"9","author":[{"given":"Mackenzie","family":"Lecher","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Lecher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsay","family":"Tjiattas-Saleski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2025,2,26]]},"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"link":[{"URL":"https:\/\/escholarship.org\/content\/qt9m8238zt\/qt9m8238zt.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T16:27:48Z","timestamp":1747153668000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/9m8238zt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,26]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,5,12]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.34864","relation":{},"ISSN":["2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2025,2,26]]}}}