Ng C K D, Cheung Y S H, Wong C H J, Li K W M
Department of Surgery, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong SAR.
Singapore Med J. 2009 Jun;50(6):e220-2.
Coloduodenal fistula is an uncommon disease entity. It can be caused by either a malignant or benign disease. We report the fifth case of coloduodenal fistula secondary to colonic diverticulosis. Our patient, a 60-year-old man, presented with severe diarrhoea and recurrent severe hypokalaemia. A partial colectomy with en bloc excision of the fistula was performed, and the duodenal defect was closed primarily. A literature review was carried out on the aetiology, presentation, diagnosis and management of coloduodenal fistula.
结肠十二指肠瘘是一种罕见的疾病实体。它可由恶性或良性疾病引起。我们报告了第五例继发于结肠憩室病的结肠十二指肠瘘病例。我们的患者是一名60岁男性,表现为严重腹泻和反复严重低钾血症。进行了部分结肠切除术并整块切除瘘管,十二指肠缺损进行了一期缝合。对结肠十二指肠瘘的病因、表现、诊断和治疗进行了文献综述。