MALIGNANT DUODENOCOLIC FISTULA- CASE REPORT OF RARE COMPLICATION OF COLONIC CANCER TREATED BY MULTIVISCERAL RESECTION
Journal
Journal of Morphological Sciences
Date Issued
2022
Author(s)
Nedelkovski, Dane
Panikj, Katarina
DOI
10.55302/jms225309k
Abstract
Duodenocolic fistulas created by invasive cancer of the colon are rare complications. They are
presented with serious electrolytic and nutritional disturbances due to vomiting, diarrhoea, abdominal
pain, GI bleeding, and weight loss.
In this paper, we present young male patient with malignant duodenocolic fistula between
ascendant colon and D2 portion of duodenum and pancreatic head, treated with right hemicolectomy
and pancreaticoduoedenectomy. Postoperative histopathology confirmed poorly differentiated colonic
adenocarcinoma without spreading to lymph nodes and major vessels.
Patient is still alive after three years of the operation which led as to conclusion that this type
of radical operation may represent one of the best treatments for this rare complication, provides good
quality of life and is prognostically justifiable.
presented with serious electrolytic and nutritional disturbances due to vomiting, diarrhoea, abdominal
pain, GI bleeding, and weight loss.
In this paper, we present young male patient with malignant duodenocolic fistula between
ascendant colon and D2 portion of duodenum and pancreatic head, treated with right hemicolectomy
and pancreaticoduoedenectomy. Postoperative histopathology confirmed poorly differentiated colonic
adenocarcinoma without spreading to lymph nodes and major vessels.
Patient is still alive after three years of the operation which led as to conclusion that this type
of radical operation may represent one of the best treatments for this rare complication, provides good
quality of life and is prognostically justifiable.
File(s)![Thumbnail Image]()
Loading...
Name
417-1-2041-2-10-20230110.pdf
Size
253.73 KB
Format
Adobe PDF
Checksum
(MD5):d25787082d7c26cf15481b7dd5e76771