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When organs collide: A rare cause of gastrointestinal bleeding
Darragh Egan1, Rohita Reji1, Tim Mitchell1
1Department of Gastroenterology Royal Perth Hospital Perth Western Australia Australia.
Summary
A patient with Non-Hodgkin
Area of Science:
- Gastroenterology
- Oncology
- Radiology
Background:
- A 72-year-old male presented with melaena.
- History of Atrial Fibrillation and Non-Hodgkin's Lymphoma (NHL).
Observation:
- Endoscopy revealed a gastric fundal wall defect with suspected splenic infiltration.
- CT scan confirmed a gastrosplenic fistula and new lymphadenopathy.
Findings:
- Findings indicated recurrence of NHL.
- Gastrosplenic fistula deemed inoperable.
Implications:
- Conservative management with nasojejunal feeding tube led to clinical improvement.
- Patient opted against further chemotherapy, discharged with palliative care support.
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