Shoji S, Soeno T, Takahashi T
Am J Gastroenterol. 1981 Mar;75(3):218-21.
A rare case of gastrointestinal fistula secondary to gastric cancer is presented. Fluoroscopic examination visualized the passage of contrast medium from the stomach to the small intestine. Gastric fiberscopy revealed cancer on the greater curvature of the corpus perforating into the jejunum. The scope could be inserted readily into jejunum through this perforation. Laparotomy showed that the cancer infiltrated and perforated from the stomach to the jejunum at about 10 cm. from the ligament of Treitz. Distal gastrectomy and resection of 10 cm. of the perforated jejunum were performed. The resected specimen revealed a Borrmann III gastric cancer of the greater curvature perforating the jejunum.
本文报道了一例罕见的继发于胃癌的胃肠道瘘。透视检查显示造影剂从胃进入小肠。胃纤维内镜检查发现胃体大弯侧癌穿孔至空肠。内镜可通过该穿孔轻松插入空肠。剖腹探查显示癌症在距屈氏韧带约10 cm处从胃浸润并穿孔至空肠。行远端胃切除术及切除10 cm穿孔空肠。切除标本显示为胃大弯侧Borrmann III型胃癌穿孔至空肠。
