RESUMO
We report a case of a 61-year-old man who presented with a cough and abdominal discomfort. CT scan of the chest showed two lesions across both lungs, and an abdominal CT scan revealed multiple hypodense lesions in the spleen with cystic lesions on the splenic hilum. Upper gastrointestinal tract endoscopy found creamy yellowish discharge through a fistula between the stomach and splenic hilum. Under fluoroscopic guidance, forceps was inserted into the fistula tract, and forcep biopsy was done. The pathology was consistent with tuberculosis, and a nine-month anti-tuberculosis medication regimen was started. Imaging performed three months after finishing medication indicated improvement of splenic lesions, and the gastro-splenic tract was sealed off. This case is a very rare clinical example of secondary splenic tuberculosis with a gastro-splenic fistula formation in an immunocompetent patient.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Antituberculosos/uso terapêutico , Fluoroscopia , Fístula Gástrica/patologia , Gastroscopia , Baço/diagnóstico por imagem , Esplenopatias/diagnóstico , Tomografia Computadorizada por Raios X , Tuberculose Esplênica/diagnóstico , UltrassonografiaRESUMO
Presentamos un caso de fístula gastrocólica secundaria a una úlcera gástrica benigna. Para nuestro conocimiento es el primer caso reportado de la literatura diagnosticada mediante una video-gastroscopia, complementando su evaluación con estudio baritado superior. El tratamiento utilizado consistió en gastrectomía subtotal y cierre primario del defecto colónico. Se realiza la discusión del tema