Soheili Marzieh, Honarmand Shirin, Soleimani Heshmatollah, Elyasi Anvar
School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Medicine, School of Medicine, Kurdistan University of Medical Sciences, Kurdistan, Iran.
Acta Med Iran. 2015 Aug;53(8):512-5.
Benign duodenocolic fistula (DCF), known as a fistula between the duodenum and colon with or without cecum of nonmalignant origin, is an unusual complication of different gastrointestinal diseases. The present paper records a case in which the patient presented with chronic diarrhea, abdominal pain, weight loss as well as having a history of gastric ulcer. Most frequently the condition presents with signs of malabsorption such as weight loss and diarrhea, but other symptoms include nausea, vomiting (sometimes with fecal), and abdominal pain. Gastrointestinal inflammatory conditions are the usual causes. The most common ones are perforated duodenal ulcer and Crohn's disease. Barium enemas are usually diagnostic. Treatment consists of excising the fistula and repairing the duodenal and colonic defects. Closure of the fistula provides quick relief.
良性十二指肠结肠瘘（DCF）是指十二指肠与结肠之间伴有或不伴有盲肠的瘘管，起源于非恶性病变，是不同胃肠道疾病的一种罕见并发症。本文记录了一例患者，该患者表现为慢性腹泻、腹痛、体重减轻，并有胃溃疡病史。该病症最常见的表现是吸收不良症状，如体重减轻和腹泻，但其他症状包括恶心、呕吐（有时伴有粪便）和腹痛。胃肠道炎症是常见病因。最常见的是十二指肠溃疡穿孔和克罗恩病。钡剂灌肠通常可用于诊断。治疗方法包括切除瘘管并修复十二指肠和结肠缺损。瘘管闭合可迅速缓解症状。
