A case of combined gastrojejunal and gastrocolic fistula secondary to gastric cancer

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 ex...

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Bibliographic Details
Published in:Journal of Korean medical science 1996-10, Vol.11 (5), p.437-439
Main Authors: 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
Format: Article
Language:English
Subjects:
Colonic Diseases - complications
Colonic Diseases - pathology
Endoscopy, Gastrointestinal
Humans
Intestinal Fistula - complications
Intestinal Fistula - pathology
Jejunal Diseases - complications
Jejunal Diseases - pathology
Male
Middle Aged
Stomach Neoplasms - complications
Stomach Neoplasms - pathology
Tomography Scanners, X-Ray Computed
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Description
Summary: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.
ISSN:1011-8934
1598-6357
DOI:10.3346/jkms.1996.11.5.437