Radiographic and clinical sequelae of the duodenocolic anatomic relationship

Smith, Theodore; Goldin, Ralph R.

doi:10.1007/bf02587188

Cited by 18 publications

(6 citation statements)

References 25 publications

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“…Benign causes reported include benign duodenal ulceration [13], Crohn's disease [14][15][16][17][18], gallstones [19][20][21], a pancreatic pseudocyst rupture [22][23][24] and stent migration [3]. Rarer causes have been noted due to tuberculous disease, typhoid ulceration, non specific inflammatory lesions and secondary to complicated appendicitis.…”

Section: Discussionmentioning

confidence: 99%

Malignant Coloduodenal Fistulas-Review of Literature and Case Report

Majeed

Agarwal

Shilpa

et al. 2011

Indian J Surg Oncol

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Colo-duodenal fistula is an uncommon complication of malignant and inflammatory bowel disease. Presentation varies from upper abdominal pain, feculent vomiting and diarrhea associated with foul eructation's. Occasionally patients presents with gastro-intestinal bleed. The contact of duodenal bile salts with colonic mucosa frequently leads to diarrhea, so also duodenal colonization with colonic pathogens frequently leads to malabsorption and severe foul eructations. The diagnosis is established either by gastrointestinal contrast studies or contrast enhanced C. T. Scan. Gastroduodenoscopy can demonstrate the fistulous communication or direct invasion and it can also be helpful in obtaining a histological diagnosis. Surgical treatment includes Right Radical hemicolectomy combined with Pancreatico duodenectomy in operable patients and Intestinal bypass for inoperable ones.Right Radical hemicolectomy combined with wedge excision of Duodenum is a suitable alternative in select cases. We report an unusual case of locally advanced carcinoma hepatic flexure of colon with direct invasion of duodenum. Extended right radical hemicolectomy with wedge excision of second part of duodenum was done as an alternative to combined radical hemicolectomy with Pancreatico duodenectomy.

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Section: Discussionmentioning

confidence: 99%

Malignant Coloduodenal Fistulas-Review of Literature and Case Report

Majeed

Agarwal

Shilpa

et al. 2011

Indian J Surg Oncol

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“…The development of coloduodenal fistulae in patients with Crohn's disease has been reported in 52 cases [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] (Table 1). We herein describe a case of primary coloduodenal fistula secondary to Crohn's disease, being particular for its clinical presentation and endoscopic documentation.…”

Section: Discussionmentioning

confidence: 98%

Primary Coloduodenal Fistula in a Patient with Crohn's Disease

et al. 2006

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The posterior surface of the proximal transverse colon and the anterior surface of the descending duodenum are intimately related, predisposing to fistulization in this area. We herein describe a rare case of benign duodenocolic fistula secondary to Crohn's disease. We emphasize the clinical presentation with fecaloid vomiting, as well as the establishment of the diagnosis by endoscopy, which are both extremely rare. The presence of a colonic stricture supports the hypothesis that the disease started in the colon rather than in the duodenum, and mandates surgical rather than medical therapy. Our case illustrates the possibility of coloduodenal fistula in patients with long-standing Crohn's disease, which should be considered in patients presenting with fecaloid vomiting, abdominal pain, and weight loss.

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“…Thus, any process, whether inflammatory or neoplastic, that involves one may extend to the other [6]. However, duodenocolic fistula is a rare occurrence [2,7].…”

Section: Discussionmentioning

confidence: 98%

Palliative treatment of malignant duodenoenteric fistulas

Wolloch

Lombrozo

et al. 1980

World j. surg.

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Malignant duodenocolic fistula, a rare complication of carcinoma of the hepatic flexure of the colon, may present with bilious diarrhea and feculent vomiting, and is usually associated with severe electrolyte and nutritional depletion. In 2 cases of duodenoenteric fistula caused by recurrence of colonic cancer after right hemicolectomy, the tumor was unresectable. Isolation of the affected intestinal loop, without any attempt at disconnecting it from the duodenum, and diversion of that loop back into the jejunum provided a solution, achieving satisfactory palliation and an improvement in nutritional state.

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Radiographic and clinical sequelae of the duodenocolic anatomic relationship

Cited by 18 publications

References 25 publications

Malignant Coloduodenal Fistulas-Review of Literature and Case Report

Malignant Coloduodenal Fistulas-Review of Literature and Case Report

Primary Coloduodenal Fistula in a Patient with Crohn's Disease

Palliative treatment of malignant duodenoenteric fistulas

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