PMC6923715_01
CT scan images demonstrating gastrosplenic fistula. (*) shows fistulous communication between stomach and spleen. Arrowhead represents coiled feeding tube within the capsule of the spleen. CT, computed tomography.
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Additionally, the computed tomography (CT) was suspicious for a gastrosplenic fistula, as the coil of the patient's transpyloric feeding tube appeared to lie within the upper pole of the spleen ( Fig. 1 ).
Endoscopic images of gastric inflammation and gastrosplenic fistula. (
A
and
B
) Images show pictures of two separate ulcers within there gastric wall. (
C
) Image shows generalized immflamation and mucosal erosions of the gastric wall.
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To further evaluate the possibility of a gastrosplenic fistula, an esophagogastroduodenoscopy was performed, which noted multiple dispersed nonbleeding erosions of the gastric wall with two visualized openings of the posterior gastric wall ( Fig. 2 ).