Research ArticleTeaching Case Study

Gastrosplenic Fistula Secondary to Simultaneous Gastric and Splenic Diffuse Large B-Cell Lymphoma

Hamideh Ale Ali and Philip M. Scherer
Journal of Nuclear Medicine Technology June 2023, 51 (2) 160-161; DOI: https://doi.org/10.2967/jnmt.122.264789

Article Figures & Data

Figures

  • FIGURE 1.
    FIGURE 1.

    (A) Axial abdominal CT angiogram demonstrates small segment of distal splenic artery (white arrow) approaching necrotic center of spleen (black arrow). (B) Axial abdominal CT image with oral and intravenous contrast media demonstrates extension of oral contrast medium to spleen (arrow).

  • FIGURE 2.
    FIGURE 2.

    Axial CT (A) and PET/CT (B) images at the same level demonstrate an intensely 18F-FDG–avid mass (blue arrows) involving the stomach and spleen, with areas of central splenic necrosis (white arrow) and small locules of air (black arrow). Coronal PET/CT (C) and maximum intensity projection PET (D) images demonstrate 18F-FDG–avid adenopathy, diffuse intense bone marrow uptake, and an intensely 18F-FDG–avid masslike area involving the stomach and spleen.

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