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Malignant duodenocolic fistula--a case report
The Japanese Journal of Surgery
|January 1, 1981
Summary
A malignant duodenocolic fistula was successfully treated with a one-stage right hemicolectomy and pancreatoduodenectomy. En-bloc removal of affected structures offers the best outcome for this rare condition.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Malignant duodenocolic fistula is a rare complication.
- Colonic origin presents unique surgical challenges.
Observation:
- A 63-year-old female presented with feculant vomiting, diarrhea, and emaciation.
- Radiological examination confirmed a malignant duodenocolic fistula of colonic origin.
Findings:
- Preoperative management included intravenous hyperalimentation for nutritional and electrolyte correction.
- A successful one-stage right hemicolectomy and pancreatoduodenectomy was performed.
Implications:
- En-bloc resection of all involved structures is crucial for successful treatment.
- This approach offers the best prognosis for malignant duodenocolic fistula originating from the colon.