GASTROCOLIC FISTULA ORIGINATING FROM TRANSVERSE COLON-CANCER - REPORT OF A CASE AND REVIEW OF THE JAPANESE LITERATURE

被引：31

作者：

MATSUO, S

ETO, T

OHARA, O

MIYAZAKI, J

TSUNODA, T

KANEMATSU, T

机构：

[1] Department of Surgery, Kochi Prefectural Seinan Hospital, Kochi, 787, 1973 Uyama, Nakamura

[2] Department of Pathology, Kochi Prefectural Seinan Hospital, Kochi, 787, 1973 Uyama, Nakamura

[3] Second Department of Surgery, Nagasaki University School of Medicine, Nagasaki, 852

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1994年 / 24卷 / 12期

关键词：

GASTROCOLIC FISTULA; TRANSVERSE COLON CANCER;

D O I：

10.1007/BF01367461

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A 72-year-old woman was admitted to our hospital complaining of loss of weight, general fatigue, and upper abdominal pain. Barium studies suggested that a fistula was present between the proximal transverse colon and the stomach which originated from a carcinoma of the colon. A plain computed tomography (CT) scan confirmed the presence of a gastracolic fistula. A two-thirds distal gastrectomy and right hemicolectomy with a resection of a bulky tumor in the mesocolon were performed en bloc. Histological examination revealed a well-differentiated adenocarcinoma of the transverse colon which was involved with the wall of the stomach. We were able to obtain information on 14 previous cases of gastrocolic fistula originating from transverse colon cancer in the Japanese literature, including the present case. The most common symptom was abdominal pain (64%). A preoperative diagnosis of fistula was confirmed in 10 of the 11 cases examined by barium studies. A plain CT and a CT scan after the barium studies may also be helpful in detecting fistula formation, A fistula between the carcinoma of the middle or distal transverse colon and the stomach was found in 13 of 14 cases, but not in our case. Only one case lived longer than 9 years, even though a surgical resection was possible in 9 of 11 cases.

引用

页码：1085 / 1089

页数：5

共 24 条

[1]

Marshall S.F., Knud-Hansen J., Gastrojejunocolic and gastrocolic fistulas, Annals of Surgery, 145, pp. 770-782, (1957)

[2]

Smith D.L., Dockerty M.B., Black B.M., Gastrocolic fistulas of malignant origin, Surg Gynecol Obstet, 134, pp. 829-832, (1972)

[3]

Amlicke J.A., Ponka J.L., Gastrocolic and gastrojejunocolic fistulas. A report of sixteen cases, Am J Surg, 107, pp. 744-750, (1964)

[4]

Welch J.P., Donaldson G.A., Perforative carcinoma of colon and rectum, Ann Surg, 180, pp. 734-740, (1974)

[5]

Thoeny R.H., Hodgson J.R., Scudamore H.H., The roentgenologic diagnosis of gastrocolic and gastrojejunocolic fistulas, A J R, 83, pp. 876-881, (1950)

[6]

Ritvo M., McDonald E.J., Gastrocolic fistula: Report of twelve cases, Radiology, 37, pp. 269-276, (1941)

[7]

Allison J.E., Gastrocolic fistula as a complication of gastric lymphoma, Am J Gastroenterol, 59, pp. 499-504, (1973)

[8]

General rules for clinical and pathological studies on cancer of the colon, rectum and anus (in Japanese), (1985)

[9]

Matsuo I., Gastrocolic fistula due to mucinous carcinoma of the transverse colon (in Japanese), Jikken Shokakibyogaku, 10, pp. 1586-1593, (1935)

[10]

Ito Y., Onodera H., A case of gastrocolic fistula, due to cancer of the transverse colon (in Japanese with English abstract), Tohoku Igaku Zasshi, 46, pp. 331-332, (1952)

← 1 2 3 →