Malignant duodeno-colic fistula

Abstract

Colo-duodenal fistula is a rare complication of gastro-intestinal malignancy and inflammatory bowel disease. The fistula often results in diarrhea and vomiting with dramatic weight loss. Vomiting may be feculent or truly fecal associated with foul smelling eructation. We present an unusual case of colonic carcinoma, where a 61-year-old female patient presented with pain abdomen and vomiting secondary to a malignant colo-duodenal fistula near the hepatic flexure. Ultrasonography showed a mass in the hepatic flexure area, and invasive adenocarcinoma was confirmed on histology from biopsy obtained during colonoscopy. Coloduodenal fistulae from colonic primaries are rare, but early diagnosis may allow curative surgery.

Malignant Duodenocolic Fistula- Case Report of Rare Complication of Colonic Cancer Treated by Multivisceral Resection

“…Correction of fluid and electrolyte balance, total parenteral nutrition, nasogastric decompression and bowel preparation are mandatory preoperative measures. In the absence of disseminated disease malignant duodenocolic fistulas from colonic primaries can be treated by curative surgery that offers good prognosis [15]. We believe that en bloc surgical resection and reconstruction are reasonable goals in properly selected cases and afford the best clinical outcome for the patient.…”