Gastrocolic fistula caused by transverse colon cancer: a case report

被引：1

作者：

Sugi, Tomoyuki ^{[1
,2
]}

Kurata, Masanao ^{[1
,2
]}

Furuta, Tomoaki ^{[1
]}

Ishibashi, Osamu ^{[1
]}

Inagawa, Satoshi ^{[1
]}

Ariga, Hiroyuki ^{[3
]}

Kashimura, Junya ^{[3
]}

Kawai, Hitomi ^{[4
]}

Takayashiki, Norio ^{[4
]}

Oda, Tatsuya ^{[2
]}

机构：

[1] Mito Kyodo Gen Hosp, Dept Surg, 3-2-7 Miya Machi, Ibaraki 3100015, Japan

[2] Univ Tsukuba, Fac Med, Dept Gastrointestinal & Hepatobiliary Pancreat Sur, 2-1-1 Tennodai, Tsukuba, Ibaraki 3058576, Japan

[3] Mito Kyodo Gen Hosp, Dept Internal Med, 3-2-7 Miya Machi, Ibaraki 3100015, Japan

[4] Mito Kyodo Gen Hosp, Dept Diagnost Pathol, 3-2-7 Miya Machi, Ibaraki 3100015, Japan

来源：

SURGICAL CASE REPORTS | 2023年 / 9卷 / 01期

关键词：

Gastrocolic fistula; Colon cancer; En bloc resection; ADENOCARCINOMA; GUIDELINES; SECONDARY; RESECTION;

D O I：

10.1186/s40792-023-01590-2

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BackgroundA gastrocolic fistula is an unusual communication between the colon and the stomach. Although colon cancer is the most common malignant cause of gastrocolic fistula in the Western world, the incidence of gastrocolic fistula due to colon cancer is 0.3% in operated cases.Case presentationA 68-year-old man presented with anorexia, general malaise, weight loss, and vomiting of fecal matter. Investigations revealed that the patient had a large nonmetastatic splenic flexure tumor that was diagnosed as colon cancer and had invaded the stomach and pancreas. An upper gastrointestinal series confirmed a gastrocolic fistula. Left hemicolectomy, distal gastrectomy, distal pancreatectomy, and splenectomy were performed. Histology revealed transverse colon cancer, which was UICC stage (8th edition) pT4bN1bcM0 pStage IIIC. Adjuvant chemotherapy was not performed. There was no recurrence or metastasis one year after surgery.We reviewed 17 cases including our case of a gastrocolic fistula caused by colon cancer. Neoadjuvant chemotherapy was not given to any of the patients, and en bloc resections were conducted in all cases. Adjuvant chemotherapy was given to almost all of the patients. There was no recurrence or metastasis.ConclusionsFor gastrocolic fistula caused by advanced colon cancer, secure en bloc surgical resection was the initial treatment in all 17 reported cases including the present case, and adjuvant chemotherapy may contribute to a better prognosis.

引用

页数：7