Gastrocolic fistula, a rare complication

Aslam, Farah; El-Saiety, Nabil; Samee, Abdus

doi:10.1259/bjrcr.20170121

Cited by 7 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This could probably reflect a better prognosis, since another case of GCF with a disease-free survival of 5 years has been reported in a man whose specimen had 37 negative lymph-nodes [20] . We found another recent case report with absence of lymph-node involvement, for which we do not have long follow-up data [21] . Unluckily, most reports of GCFs are not accompanied by a complete description of the definitive pathologic stage, thus not allowing us to confirm our hypothesis.…”

Section: Tablementioning

confidence: 59%

Gastrocolic fistula: a case report

Frisone

Gobin

Renard

et al. 2020

International Journal of Surgery Oncology

View full text Add to dashboard Cite

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.

show abstract

Section: Tablementioning

confidence: 59%

Gastrocolic fistula: a case report

Frisone

Gobin

Renard

et al. 2020

International Journal of Surgery Oncology

View full text Add to dashboard Cite

show abstract

“…On presentation to ED, our patient reported all three symptoms described in the triad without radiological evidence of luminal obstruction. This is of note as the presentation of faeculent vomiting in the absence of obstruction should raise suspicion of a gastrocolonic fistula [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Gastrocolonic fistula: a rare complication of upper gastrointestinal surgery

Hong

Koh

Gray

2021

Journal of Surgical Case Reports

View full text Add to dashboard Cite

A gastrocolonic fistula is a rare surgical presentation, typically in the setting of gastric or colonic malignancy. This report presents the first reported Australian case of a gastrocolonic fistula following upper gastrointestinal surgery. A middle-aged woman presented to emergency with a short history of severe abdominal pain, faeculent vomiting, profuse diarrhoea and weight loss. This was in the setting of a previous pylorus-preserving pancreaticoduodenectomy complicated by marginal ulceration, for which a distal gastrectomy and Roux-en-Y reconstruction was required. The rarity of gastrocolonic fistulae and non-specific presentation with diarrhoea, vomiting and weight loss can make the diagnosis challenging. The mainstay of management is surgical resection in both benign and malignant disease.

show abstract

“…Endoscopy may miss small, narrow fistulae located in gastric or colonic folds [ 2 ]. CT scan with intravenous and oral contrast is also valuable to confirm the diagnosis, delineate the tract, investigate the primary pathology and for preoperative planning [ 3 , 4 ]. Management should be multidisciplinary and tailored to each individual patient.…”

Section: Discussionmentioning

confidence: 99%

Gastro-cholecysto-colic fistula. Case report of an idiopathic case, and management approach

Irwin

Donlon

Mohan

et al. 2020

Journal of Surgical Case Reports

View full text Add to dashboard Cite

A 71-year-old lady presented with a 4-week-history of epigastric pain, feculent vomiting, diarrhoea and weight-loss. On subsequent investigations, she was found to have a complex gastro-cholecysto-colic fistula with no clear underlying aetiology. The only abnormality both macroscopically and microscopically was ulceration and inflammation in the colon. However, this was not pathognomonic of inflammatory bowel disease, and (gastric) acid-induced inflammation is an alternative explanation. Herein we present her case, her comprehensive evaluation, her successful surgical management and a review of the relevant literature.

show abstract

Gastrocolic fistula, a rare complication

Cited by 7 publications

References 7 publications

Gastrocolic fistula: a case report

Gastrocolic fistula: a case report

Gastrocolonic fistula: a rare complication of upper gastrointestinal surgery

Gastro-cholecysto-colic fistula. Case report of an idiopathic case, and management approach

Contact Info

Product

Resources

About