A gastro-colic fistula secondary to high-grade B-cell gastric lymphoma in a patient with AIDS: a case report

Leong, Waiian; Xu, Mingfeng; Li, Ni; Su, Jiajun; Yang, Dongxu

doi:10.1177/03000605211006602

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…In his case, Chiang et al described a female patient with cervical cancer, who developed metastatic lesion to the stomach in the form of ulcer developing GC fistula [12]. Few cases of primary gastric lymphoma were reported as the cause of GC fistula [13][14][15]. In most of them, advanced stage non-Hodgkin large B-cell lymphoma is the most common lymphoma subtype.…”

Section: Etiological Causesmentioning

confidence: 99%

Gastrocolic Fistula: An Extraordinary Gastrointestinal Fistula

2022

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Gastrocolic (GC) fistula, a rare gastrointestinal pathological condition, is defined as an abnormal connection between the stomach and the colon. Mostly, it involves the greater curvature of the stomach and the transverse part of the colon. Its precise incidence rate is unknown and largely differs between western and eastern nations. Etiological causes differ as well between the two worlds. Although several precipitating diseases are reported, nowadays, the most common causes are malignant diseases of the stomach (eastern countries) and colon (western world). Patients with GC fistulas usually present late and complain mainly of vomiting, diarrhea, and severe weight loss. This in turn leads to malnutrition, vitamin deficiencies and electrolyte disturbances. Being a rare condition, and usually forgotten, diagnosis is usually challenging to the treating physicians. Workup usually involves a combination of radiological and endoscopic tests. Long-term survival is unknown, and patients usually have poor prognosis. The aim of this review is to summarize the relevant articles in the English literature for this abnormal medical condition, with emphasis on the different etiologies, pathogenesis, clinical presentation, and management, in order to increase physicians' awareness of such uncommon medical problem.

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Section: Etiological Causesmentioning

confidence: 99%

Gastrocolic Fistula: An Extraordinary Gastrointestinal Fistula

2022

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“…At present, gastric cancer in AIDS patients cannot be treated with surgery, and the tumor progression can only be controlled by chemotherapy, and analgesic drugs can be given to relieve the pain of patients. However, patients with low immunity may suffer from relatively great side effects [10].…”

Section: Introductionmentioning

confidence: 99%

64-Slice Spiral Computerized Tomography under Algebraic Reconstruction Algorithm in the Surgical Treatment of Acquired Immune Deficiency Syndrome Complicated with Gastric Cancer

Yang

Chen

Da-yong

et al. 2022

Computational Intelligence and Neuroscience

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In order to deeply analyze the application of CT images based on artificial intelligence algorithm in clinical treatment of AIDS patients with gastric cancer, and to provide reference for intervention of AIDS patients with gastric cancer, a total of 100 AIDS patients with gastric cancer were included as the research objects. The patients with CD4+ T lymphocyte count less than 200 cells/µL were in the control group (50 cases), whereas those higher than 200 cells/µL were in the experimental group (50 cases). All the patients underwent 64-slice spiral CT scanning. An improved algebraic reconstruction technology (ART) under L0 algorithmic approach (L0-ART) was proposed, and compared with the total variation (TV), filtered back projection (FBP), and weighted total variation (WTV) models. The standard deviation (STD) and average processing time of the L0-ART algorithm were significantly lower than those of the TV, FBP, and WTV algorithms ( P < 0.05). The operation time of the experimental group was longer than that of the control group; the intraoperative blood loss, the diameter of the surgical wound, the time of first farting, the length of hospital stays, and the incidence of adverse reactions were all greatly lower than those of the control group ( P < 0.05). Postoperatively, the total adipose tissue (TAT), visceral adipose tissue (VAT), and subcutaneous adipose tissue (SAT) in the abdominal area were higher in the experimental group than those in the control group ( P < 0.05). In conclusion, the improved L0-ART algorithm proposed in this study had an excellent processing effect on CT images with a clinical promotion value. Patients with CD4+ T lymphocytes over 200 cells/µL had better surgical outcomes and prognosis than those with less than 200 cells/µL.

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Successful Treatment of Double Malignant Fistulas in Advanced Rectosigmoid Junction Tumor with Neoadjuvant Chemoradiation and Surgery: A Case Report

Chuang,

Lo,

Cheng

et al. 2023

Journal of Medical Sciences

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This case report describes a successful treatment of rare double malignant fistulas in an advanced rectosigmoid junction tumor using neoadjuvant chemoradiation and surgery. An 81-year-old woman presented with poor appetite, abdominal fullness, dizziness, and bloody stool. She was diagnosed with an advanced rectosigmoid junction tumor with double malignant fistulas (ceco-sigmoid and ileo-sigmoid fistulas). The patient received neoadjuvant chemoradiation therapy followed by surgical resection of the tumor and the fistulas. The patient’s postoperative recovery was uneventful. Her pathological examination showed a partial pathological response to the neoadjuvant therapy. The patient had no evidence of local recurrence or distant metastasis at her 1-year follow-up. This case demonstrates the importance of a multidisciplinary approach in managing complex cases and suggests that neoadjuvant chemoradiation therapy combined with surgery may be an effective treatment for advanced rectosigmoid junction tumors with double malignant fistulas.

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A gastro-colic fistula secondary to high-grade B-cell gastric lymphoma in a patient with AIDS: a case report

Cited by 3 publications

References 15 publications

Gastrocolic Fistula: An Extraordinary Gastrointestinal Fistula

Gastrocolic Fistula: An Extraordinary Gastrointestinal Fistula

64-Slice Spiral Computerized Tomography under Algebraic Reconstruction Algorithm in the Surgical Treatment of Acquired Immune Deficiency Syndrome Complicated with Gastric Cancer

Successful Treatment of Double Malignant Fistulas in Advanced Rectosigmoid Junction Tumor with Neoadjuvant Chemoradiation and Surgery: A Case Report

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