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Primary Splenic Lymphoma Complicated by Hematemesis

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Primary Splenic Lymphoma Complicated by Hematemesis
Gastrosplenic fistula resulting from erosion of a primary splenic lymphoma is a rare cause of massive upper gastrointestinal hemorrhage associated with benign peptic ulcer disease, gastric Crohn's disease, gastric adenocarcinoma, and primary gastric and splenic lymphomas. Upper intestinal hemorrhage can be successfully treated with splenic artery embolization, followed by splenectory and gastric resection.

Gastrosplenic fistula is a rare cause of upper gastrointestinal hemorrhage. Herein, we describe the only known case of a primary splenic lymphoma presenting initially as massive upper intestinal hematemesis due to erosion into the stomach. The literature on this rare complication will be reviewed.

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