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Related Experiment Video

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Gastrocolic fistula, a rare complication.

Farah Aslam1, Nabil El-Saiety2, Abdus Samee2

  • 1Department of General Surgery, Newham University Hospital, Barts Health NHS Trust, London, UK.

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|April 2, 2019
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Summary

A rare gastrocolic fistula, a communication between the colon and stomach, was diagnosed in a patient presenting with unusual symptoms. This condition, often a complication of colonic tumors, requires prompt recognition for effective management.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Diagnostic Imaging

Background:

  • Gastrocolic fistulas are rare abnormal connections between the stomach and colon.
  • They can present with non-specific symptoms, complicating diagnosis.
  • Colonic tumors are a potential underlying cause.

Purpose of the Study:

  • To highlight the diagnostic challenges and clinical presentation of a gastrocolic fistula.
  • To emphasize the importance of recognizing this rare complication in patients with colonic lesions.
  • To discuss the management of a gastrocolic fistula secondary to a colonic tumor.

Main Methods:

  • Case report of a 77-year-old male with gastrointestinal symptoms.
  • Initial computed tomography (CT) scan for colonic lesion identification.
  • Follow-up CT scan with oral contrast to confirm gastrocolic fistula.
  • Explorative laparotomy for surgical assessment and intervention.

Main Results:

  • Patient presented with diarrhea, weight loss, and faeculent vomiting.
  • CT revealed a transverse colon stricture, initially without signs of obstruction.
  • Oral contrast CT confirmed a gastrocolic fistula.
  • Exploratory surgery identified a transverse colonic tumor communicating with the stomach via the fistula.

Conclusions:

  • Faeculent vomiting can be an indicator of a gastrocolic fistula.
  • Gastrocolic fistulas, though rare, are significant complications that necessitate diagnostic consideration.
  • Prompt recognition and management are crucial for patients with suspected gastrocolic fistulas.