case_images: PMC6416965_01
case_images: Coronal view of abdominal CT scan with IV contrast showing massive splenomegaly with query indentation of upper part of the stomach.
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case_images: PMC6416965_01_gr1.jpg
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case_images: Tomography (CT) Scan of the abdomen showed massive splenomegaly with splenic infarction and possible superimposed infection (Fig. 1).
case_images: Endoscopic picture of the stomach showing edematous folds with query fistula opening in the funds area.
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case_images: PMC6416965_01_gr2.jpg
case_images: fig0010
case_images: Prior to surgery, he had an episode of vomiting which was thought to be coffee-ground vomitus; accordingly, upper GI endoscopy was done and the edematous gastric mucosa in the fundus was misinterpreted as large gastric varices at the time of the study (Fig. 2).
case_images: Gross picture of the spleen after removal, showing huge abscess cavity.
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case_images: PMC6416965_01_gr3.jpg
case_images: fig0015
case_images: The fistula was managed by partial gastrectomy (Fig. 3).
case_images: Contrast meal study demonstrates no leak in the gastric surgical site.
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case_images: PMC6416965_01_gr4.jpg
case_images: fig0020
case_images: Three days post-operative, contrast meal study was done which demonstrated no leak at the surgical site (Fig. 4).