Department of Surgery, Sapienza University of Rome, Rome, Italy.
Dig Dis Sci. 2024 Mar;69(3):683-688. doi: 10.1007/s10620-023-08200-z. Epub 2024 Jan 13.
Diverticular disease is common in Western countries; one-third of patients with diverticular disease develop diverticulitis during their lifetime of whom 5% may experience serious complications. We describe a rare complication of diverticulitis: a duodeno-colic fistula in a patient with an elongated sigmoid colon (dolicosigma). The patient complained of abdominal pain, diarrhea, weight loss, and feculent vomiting. Radiological studies and gastroscopy demonstrated a fistula between the second portion of the duodenum and the sigmoid colon. Curative surgery cured the fistula and completely resolved its associated signs and symptoms.
憩室病在西方国家很常见；三分之一的憩室病患者在其一生中会发展为憩室炎，其中 5%可能会出现严重并发症。我们描述了憩室炎的一种罕见并发症：在乙状结肠冗长（长乙状结肠）的患者中出现的十二指结肠瘘。该患者主诉腹痛、腹泻、体重减轻和粪便样呕吐。放射学研究和胃镜检查显示十二指肠第二段和乙状结肠之间存在瘘管。治愈性手术治愈了瘘管，并完全解决了其相关的体征和症状。
