Malignant Duodenocolic Fistulas: Report of 2 cases.

, Koo, Ji Hoe; , Lee, Ki Seog; , Cho, Young Up; , Woo, Ze Hong; , Shin, Yong Woon; , Kwon, Kye Sook; , Kim, Kyung Rae

Case Report

Journal of the Korean Society of Coloproctology 2001;17(1):53-57.

Koo, Ji Hoe , Lee, Ki Seog , Cho, Young Up , Woo, Ze Hong , Shin, Yong Woon , Kwon, Kye Sook , Kim, Kyung Rae

¹Department of Surgery, College of Medicine, Inha University, Seongnam, Korea. Linuskim@inha.ac.kr
²Department of Internal Medicine, College of Medicine, Inha University, Seongnam, Korea.

Abstract

Malignant duodenocolic fistula is a rare complication of advanced right colon cancer. The surgeon becomes involved not only with the cancer lesion, but also with the physiologic complications, such as electrolyte imbalance and malnutrition. We experienced 2 cases of duodenocolic fistulas arising from right side colon cancers. One of the patients was surgically treated by right hemicolectomy and pancreatico-duodenectomy and another case was lost to follow-up. We report these cases with a brief review of the literature.

Key Words: Malignant duodenocolic fistula; Right hemicolectomy; Pancreatico-duodenectomy