Related Experiment Video
Updated: Jun 17, 2025
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
16.4K
Malignant recto-jejunal fistula: a rare case report.
Roshna Adhikari1, Mukesh Paudel2, Ram M Jha3
1Department of Radiology, National Academy of Medical Sciences, Bir Hospital.
Annals of Medicine and Surgery (2012)
|August 9, 2024
Summary
Malignant colo-enteric fistulas are rare. This case highlights a rectojujunal fistula caused by adenocarcinoma, emphasizing the need for advanced imaging like CECT in diagnosing complex gastrointestinal conditions.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Malignancy is a known cause of colo-enteric fistulas.
- Malignant fistulas between the rectum and jejunum are exceptionally rare.
Observation:
- A 60-year-old female presented with chronic diarrhea, vomiting, and epigastric pain.
- Imaging revealed a rectojujunal fistula with an ulcero-proliferative rectal growth.
- Biopsy confirmed poorly differentiated adenocarcinoma.
Findings:
- Contrast-enhanced computed tomography (CECT) identified rectal thickening and recto-jejunal fistulous tracts.
- Colonoscopy visualized the rectal growth and fistulous communication with the jejunum.
- The patient received conservative and palliative treatment.
Implications:
- Colo-enteric fistulas, especially malignant ones, are associated with high morbidity and mortality.
- Advanced imaging like CECT is crucial for diagnosing complex gastrointestinal pathologies.
- Early detection and appropriate management are vital for improving patient outcomes.
