Oh P I, Zalev A H, Colapinto N D, Deodhare S S, Brandwein J, Warren R E
Department of Medicine, St. Michael's Hospital, University of Toronto, Ontario, Canada.
J Clin Gastroenterol. 1995 Jan;20(1):45-8. doi: 10.1097/00004836-199501000-00012.
Gastrocolic fistula in primary non-Hodgkin's lymphoma (NHL) of the stomach is rare; in a review of the literature we found only four cases, all in association with disseminated (stage IV) disease. We describe the first case of a gastrocolic fistula in a patient with stage IE lymphoma. The diagnosis was suggested by feculent vomiting, and the fistula was located using barium enema and CT scan. Therapy consisted of local resection followed by combination chemotherapy.
胃原发性非霍奇金淋巴瘤(NHL)并发胃结肠瘘罕见;在文献回顾中,我们仅发现4例,均与播散性(IV期)疾病相关。我们描述了1例IE期淋巴瘤患者发生胃结肠瘘的首例病例。粪样呕吐提示了诊断,通过钡灌肠和CT扫描确定了瘘管的位置。治疗包括局部切除,随后进行联合化疗。