Gastrobronchial fistula -acomplication ofsplenectomy

CASEREPORT A51-year-old malepatient with previous history ofacute pancreatitis wasadmitted withsuddenonsetofsevereepigastric pain, hypovolaemic shockandsignsofperitonitis. Haemoglobin was8g/dlwithnormalindices. Otherbloodtests werenormal. A provisional diagnosis ofaperforated viscus wasmadeanda laparotomy wasperformed. However this revealed alarge haemoperitoneum andaninfarcted spleen secondary torupture ofasplenic artery aneurysm, located atthehilumofthespleen. Theaneurysm wasligated andasplenectomy performed. The patient hada difficult postoperative recovery withpersistent drainage inexcess of500mls from