Zhou BiaoHuan, Li WeiHua
Department of Surgical oncology, Fujian Medical University (Fujian Provincial Hospital), Fu Zhou, China.
Department of Surgical oncology, Fujian Provincial Hospital, Fu Zhou, China.
Int J Surg Case Rep. 2015;15:46-9. doi: 10.1016/j.ijscr.2015.08.023. Epub 2015 Aug 18.
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.
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.
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.
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.
结肠癌继发胃结肠瘘是一种罕见的病症。东西方国家胃结肠瘘的常见病因有所不同。胃结肠瘘可能有多种表现。
我们报告一例59岁男性结肠腺癌患者发生胃结肠瘘的病例，通过消化内镜检查、CT扫描和钡剂灌肠确诊。根据患者症状、肿瘤大小和性质进行了根治性整块手术。
胃结肠瘘的典型症状包括腹痛、呕吐、腹泻、消瘦、贫血、低蛋白血症、体重减轻和腹水。诊断胃结肠瘘有多种方法，但钡剂灌肠是目前最常用的方法。
结肠腺癌导致胃结肠瘘的病例罕见，国内鲜有报道。胃结肠瘘的最佳治疗方法仍是根治性整块手术。
