A case of gastrocolic fistula secondary to adenocarcinoma of the colon

Zhou, Biaohuan; Li, Weihua

doi:10.1016/j.ijscr.2015.08.023

Cited by 9 publications

(6 citation statements)

References 13 publications

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“…2, 3 The patient may present with an array of signs including anaemia, weight loss, malaena, ascites, palpable mass, faeculent vomiting or faecal oris. 4, 5 There is, however, a well-known triad of diarrhoea, weight loss and faeculent vomiting which in fact our patient displayed. 6 Whether the cause of a gastrocolic fistula is benign or malignant, the process of formation of fistula is thought to be due to a prolonged inflammatory response resulting in migration of intestinal epithelial cells into deeper layers of the intestinal wall causing localized tissue damage and subsequently a communication to other organ or the body surface.…”

Section: Discussionmentioning

confidence: 54%

“…6 Whether the cause of a gastrocolic fistula is benign or malignant, the process of formation of fistula is thought to be due to a prolonged inflammatory response resulting in migration of intestinal epithelial cells into deeper layers of the intestinal wall causing localized tissue damage and subsequently a communication to other organ or the body surface. 5, 7…”

Section: Discussionmentioning

confidence: 99%

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Gastrocolic fistula, a rare complication

2018

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A 77-year-old male presented with diarrhoea, weight loss and faeculent vomiting. CT scan identified a stricturing lesion in the transverse colon. The man, however, had no features suggestive of large bowel obstruction. This unusual presentation of faeculent vomiting raised a suspicion of a possible communication between the colon and stomach. A subsequent CT scan with oral contrast confirmed the presence of a gastrocolic fistula. During explorative laparotomy, a transverse colonic tumour communicating into the stomach via the gastrocolic fistula was detected. The patient underwent an extended right hemicolectomy and distal gastrectomy as a palliative measure. A gastrocolic fistula is a rare, yet important find and should be recognized as a possible sequel of this disease process.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Gastrocolic fistula, a rare complication

2018

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“…Although nonsteroid anti-inflammatory drugs have been identified as the main benign cause of this entity, the use of PPI for the treatment of peptic ulcer has dramatically decreased the incidence of this already rare complication [9,10] . Even more rare causes are gastric tuberculosis, trauma, postsurgical or syphilis [11][12][13][14][15][16] ( Table 1).…”

Section: Discussionmentioning

confidence: 99%

Gastrocolic fistula: a case report

Frisone

Gobin

Renard

et al. 2020

International Journal of Surgery Oncology

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Introduction: Gastrocolic fistula (GCF) is a rarely reported complication of numerous diseases. When associated with malignancies, the prognosis is usually poor. The classic presentation includes diarrhea, feculent vomiting, and weight loss. Presentation of Case: We hereby report the case of a patient who presented with weight loss and dyspepsia for 2 months, in the absence of diarrhea. Diagnosis of a GCF was made by performing a gastroscopy and a computed tomography scan. The biopsy taken during gastroscopy showed a lower tract gastrointestinal cancer, and the patient underwent surgical treatment by "en bloc" resection. After an anastomosis leak, he recovered well and underwent adjuvant chemotherapy. After a 3-year follow-up, the patient is alive and disease free. Discussion: This case presentation, together with a literature review, underlines that variable symptoms and signs that can be associated to this rare condition. The role of new imaging techniques such as computed tomography scan, compared with barium enema, should also be evaluated in this setting. The absence of lymph-node involvement may predict a good prognosis. Conclusion: GCF is a rare presentation of malignant diseases. In order to diagnose this rare condition a high grade of suspicion is needed, as symptoms are variable and most diagnostic tools are not sensitive enough to recognize it.

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“…En los países occidentales la etiología maligna más frecuente es el adenocarcinoma de colon, mientras que en los países orientales es el adenocarcinoma gástrico. La incidencia de una fístula maligna es muy baja: aparece solo el 0,3-0,4% de los pacientes operados por una neoplasia digestiva 1 .…”

Section: Hallazgo Sincrónico De Un Cuerpo Extraño En Colon Y Una Fístula Gastrocólica De Etiología Maligna Synchronic Finding Of a Foreigunclassified