Choi S W, Yang J M, Kim S S, Kang S H, Ro H J, Song K S, Ha H K, Lim K W, Kim J S
Department of Internal Medicine, St. Paul's Hospital, Catholic University Medical College, Seoul, Korea.
J Korean Med Sci. 1996 Oct;11(5):437-9. doi: 10.3346/jkms.1996.11.5.437.
A rare case of gastric cancer associated with gastrojejunal and gastrocolic fistula is presented. A 56-year-old man who had been diagnosed with advanced gastric cancer(Borrmann's type III) 5 months previously was admitted due to watery diarrhea and frequent vomiting for 2 weeks. Fluoroscopic examination was visualized two abnormal passage of contrast medium from the stomach, one to the colon, and the other to the jejunum. Gastrofiberscopy revealed that the tumor on the great curvature of the body appeared to penetrate into the colon, while the other one on the antrum directly invaded into the jejunum. The patient was treated conservatively with total parenteral nutrition and pain control.
本文报告一例罕见的伴有胃空肠和胃结肠瘘的胃癌病例。一名56岁男性，5个月前被诊断为晚期胃癌（Borrmann III型），因水样腹泻和频繁呕吐2周入院。透视检查发现造影剂从胃有两条异常通道，一条通向结肠，另一条通向空肠。纤维胃镜检查显示，胃体大弯处的肿瘤似乎已穿透至结肠，而胃窦处的另一个肿瘤直接侵犯至空肠。对该患者采用全胃肠外营养和疼痛控制进行保守治疗。
