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Vomiting and profound weight loss as a clue to the diagnosis of malignant coloduodenal fistula.呕吐与严重体重减轻作为诊断恶性结肠十二指肠瘘的线索。
Proc (Bayl Univ Med Cent). 2021 Dec 16;35(2):237-238. doi: 10.1080/08998280.2021.2008220. eCollection 2022.
2
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Palliative end ileostomy and gastrojejunostomy for a metastatic distal transverse colonic malignancy complicated by a proximal duodenocolic fistula: a case report.姑息性回肠末端造口术和胃空肠吻合术治疗转移性横结肠远端恶性肿瘤并发十二指肠结肠近端瘘：一例报告
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本文引用的文献

1
Malignant colo-duodenal fistula: management based on proposed classification.恶性结肠十二指肠瘘：基于提议分类的管理
Updates Surg. 2018 Dec;70(4):449-458. doi: 10.1007/s13304-018-0570-0. Epub 2018 Jul 27.
2
Malignant Coloduodenal Fistula: An Unusual Cause of Vomiting.恶性结肠十二指肠瘘：呕吐的罕见病因。
ACG Case Rep J. 2015 Apr 10;2(3):137-8. doi: 10.14309/crj.2015.33. eCollection 2015 Apr.
3
Successful management of a colo-duodenal fistula in a patient with Crohn's disease using a double lumen gastro-jejunostomy tube.使用双腔胃空肠造口管成功治疗一名克罗恩病患者的结肠十二指肠瘘。
Case Rep Gastroenterol. 2014 May 14;8(2):162-8. doi: 10.1159/000363374. eCollection 2014 May.
4
Rare presentation of primary coloduodenal fistula.原发性结肠十二指肠瘘的罕见表现。
JRSM Short Rep. 2012 May;3(5):29. doi: 10.1258/shorts.2011.011132. Epub 2012 May 11.
5
Coloduodenal fistula: a rare complication of right-sided diverticulitis.结肠十二指肠瘘：右侧憩室炎的一种罕见并发症。
Singapore Med J. 2009 Jun;50(6):e220-2.
6
Malignant colo-duodenal fistula; case report and review of the literature.恶性结肠十二指肠瘘；病例报告及文献综述
World J Surg Oncol. 2006 Dec 5;4:86. doi: 10.1186/1477-7819-4-86.
7
Pancreatoduodenectomy for locally advanced or recurrent colon cancer: report of two cases.局部晚期或复发性结肠癌的胰十二指肠切除术：两例报告。
Surg Today. 1999;29(9):906-10. doi: 10.1007/BF02482784.
8
Malignant duodenocolic fistulas.恶性十二指肠结肠瘘
Am J Surg. 1977 Jun;133(6):658-61. doi: 10.1016/0002-9610(77)90147-7.

呕吐与严重体重减轻作为诊断恶性结肠十二指肠瘘的线索。

Vomiting and profound weight loss as a clue to the diagnosis of malignant coloduodenal fistula.

作者信息

Songtanin Busara, Chu Victoria M, Deb Anasua, Islam Sameer, Islam Ebtesam, Nugent Kenneth

机构信息

Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.

School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2021 Dec 16;35(2):237-238. doi: 10.1080/08998280.2021.2008220. eCollection 2022.

DOI:10.1080/08998280.2021.2008220
PMID:35261464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8865254/
Abstract

Colon cancer generally presents with lower gastrointestinal symptoms, such as diarrhea, constipation, and general abdominal discomfort; it is rare for the primary presentation to have upper gastrointestinal symptoms. We report a patient with coloduodenal fistula secondary to colon malignancy who presented with incessant vomiting and dramatic weight loss as the chief complaint. It is important to consider colon cancer as part of the differential in patients with atypical presentations of upper gastrointestinal symptoms who have known colon cancer risk factors.

摘要

结肠癌通常表现为下消化道症状，如腹泻、便秘和腹部不适；以消化道上部症状为主要表现的情况较为罕见。我们报告了一例继发于结肠恶性肿瘤的结肠十二指肠瘘患者，其主要症状为持续呕吐和体重急剧下降。对于有已知结肠癌风险因素且出现非典型上消化道症状的患者，将结肠癌纳入鉴别诊断范围很重要。