Colosplenic Fistula Following Splenic Embolization in a Sickle Cell Disease Patient

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2024 May 27

PMID 38800766

Authors

Abdullah Al Jabri

Safiya Al Masrouri

Humaid Al Adawi

Hani Al Qadhi

Affiliations

Soon will be listed here.

Abstract

This case report details a rare instance of a colosplenic fistula following splenic embolization in a patient with sickle cell disease. The patient, a 29-year-old female, presented with symptoms of left hypochondrial pain and fever. Imaging revealed a splenic abscess characterized by an air-fluid level. Intraoperative observations disclosed that the spleen was entirely replaced by an abscess cavity, with the presence of colosplenic fistulae. A splenectomy and colonic resection were performed. This report highlights a rare complication that occurred a long time after splenic embolization, underscoring the need for a high level of suspicion to prevent serious complications.

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