A case of gastrocolic fistula secondary to adenocarcinoma of the colon. (2015)

• Record Type: Journal Article
• Authors: Zhou, BiaoHuan; Li, WeiHua
• Is Part Of: International journal of surgery case reports. Volume 15(2015)
• Page Start: 46
• Page End: 49
• Publication Date: 2015
• Subjects: Gastrocolic fistula -- Colon adenocarcinoma -- En-bloc resection; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2015.08.023
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: The common cause of gastrocolic fistula is different between eastern and western countries. The best diagnosing methods of gastrocolic fistula are barium enema and digestive endoscopy. The therapy for gastrocolic fistula remains surgery. Abstract: Introduction: Gastrocolic fistula secondary to colon carcinoma is a rare entity. The common cause of gastrocolic fistula is different between eastern and western countries. Gastrocolic fistula may present many manifestations. Presentation of case: We present a case report of gastrocolic fistula in a 59-year-old male patient with colon adenocarcinoma, diagnosed on digestive endoscopy, CT scanning and barium enema. Radical en-bloc surgery was undertaken based on patient's symptom, the size and the nature of the tumor. Discussion: The typical symptoms of gastrocolic fistula include abdominal pain, vomiting, diarrhea, emaciation, anemia, hypoaluminemia, weight loss and ascites. There are many methods to diagnose gastrocolic fistula, but barium enema is the most accepted way nowadays. Conclusion: It is rare for gastrocolic fistula case to be caused by colon adenocarcinoma, and has been rarely reported inside China. The best therapy of gastrocolic fistula remains radical en-bloc surgery.