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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2014; 05(02): 075-077
DOI: 10.4103/0976-5042.144833
Case Report
Society of Gastrointestinal Endoscopy of India

Malignant duodeno-colic fistula

Debasis Misra
Department of Gastroenterology, S.C.B. Medical College, Cuttack, Odisha, India
,
Girish Kumar Pati
Department of Gastroenterology, S.C.B. Medical College, Cuttack, Odisha, India
,
Bijay Misra
Department of Gastroenterology, S.C.B. Medical College, Cuttack, Odisha, India
,
Ayaskanta Singh
Department of Gastroenterology, S.C.B. Medical College, Cuttack, Odisha, India
,
Sanjib Kar
Department of Gastroenterology, S.C.B. Medical College, Cuttack, Odisha, India
,
Manas Kumar Panigrahi
Department of Gastroenterology, S.C.B. Medical College, Cuttack, Odisha, India
,
Shivaram Prasad Singh
Department of Gastroenterology, S.C.B. Medical College, Cuttack, Odisha, India
,
Omprakash Agrawal
1   Department of Gastroenterology, Beam Diagnostics Centre, Cuttack, Odisha, India
,
Chudamani Meher
1   Department of Gastroenterology, Beam Diagnostics Centre, Cuttack, Odisha, India
› Author Affiliations
Further Information

Publication History

Publication Date:
26 September 2019 (online)

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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.

Key words

Adenocarcinoma colon - coloduodenal fistula - gastrointestinal fistula
 

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