Fistulae of the intestinal tract

Webster, Marshall W.; Carey, Larry C.

doi:10.1016/s0011-3840(76)80018-4

Cited by 30 publications

(15 citation statements)

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“…It has been noted that most gastrointestinal malignant fistulas arise in the presence of locally invading adenocarcinoma 14. In the natural course of PTCL, enterocolic fistula is likely to represent a late complication and suggests an advanced disease 15…”

Section: Discussionmentioning

confidence: 99%

Jejunocolic Fistula Associated with an Intestinal T Cell Lymphoma

Chun¹,

Baek²,

Lee³

et al. 2011

Gut Liver

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Malignant fistula of the small bowel to the colon is rare and is most often due to adenocarcinoma. Small bowel lymphoma is unusual, representing less than 1 percent of all gastrointestinal malignancies. We report a case of intestinal lymphoma presenting with diarrhea and abdominal pain. A jejunocolic fistula was discovered during colonoscopy. Celiotomy revealed a large, ulcerated fistula tract between the jejunum and distal transverse colon, and pathology was consistent with peripheral T-cell lymphoma. This is a rare entity in a nonimmunocompromised individual and has not been previously described in Korea.

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Section: Discussionmentioning

confidence: 99%

Jejunocolic Fistula Associated with an Intestinal T Cell Lymphoma

Chun¹,

Baek²,

Lee³

et al. 2011

Gut Liver

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“…With increasing use of anti-inflammatory agents, it is possible that gastrocolic fistula due to benign gastric ulcers will be seen with increasing frequency. Other lesions which have been reported to cause gastrocolic fistulae include diverticulitis [14,15], carcinoma of the lung [ 16], pancreatic disease [ 17], appendicitis [4,14], carcinoid tumor [18], gastrostomy [19], syphilis, and tuberculosis [20]. The common denominator appears to be involvement either of the transverse colon in the region of the splenic flexure or involvement of the greater curvature of the stomach.…”

Section: Discussionmentioning

confidence: 99%

Unusual causes of gastrocolic fistula

Laufer

Joffe

Stolberg

1977

Gastrointest Radiol

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Abstract. 1. Three cases of gastrocolic fistula of unusual cause are presented. These include one patient each with carcinoma of the left kidney, gastric lymphoma, and granulomatous colitis.2. The relationships between the kidneys and gastrointestinal tract are illustrated by a cadaveric crosssection.3. The wide variety of diseases resulting in gastrocolic fistula is discussed.4. Careful fluoroscopic and radiographic study may be necessary to detect the site of the fistula and to identify its cause.Key words: Fistula, gastrocolic Gastrointestinal tract, abnormalities.Carcinoma of the stomach or colon is certainly the most common cause of gastrocolic fistula [1 5]. Gastric ulcer is the leading cause of benign gastrocolic fistula, particularly in patients being treated with antiinflammatory agents such as steroids or acetylsalicylic acid [6]. Recently, we have seen three patients with gastrocolic fistula due to unusual causes. The purpose of this report is to stress the wide variety of lesions which must be considered in the differential diagnosis of gastrocolic fistula and to illustrate some of the anatomic relationships in the left upper quadrant.pyelography, retrograde pyelography, and angiography showed a non-functioning kidney with obstruction of the left ureter and renal artery. At surgery there was a large mass involving the kidney with infiltration of the vessels and retroperitoneal tissues. A biopsy showed renal carcinoma, but the mass could not be resected. One year later the patient presented with feculent vomiting. The plain film of the abdomen showed a mass in the left upper quadrant indenting the greater curvature of the stomach. A barium enema examination showed marked irregularity and narrowing of the distal portion of the transverse colon in the region of the splenic flexure with a large fistulous communication with the stomach (Fig. 1 A).Comment. This patient developed a gastrocolic fistula secondary to carcinoma of the left kidney. It is generally recognized that mass lesions in the kidneys may produce large filling defects in various parts of the gastrointestinal tract. The relationships between the kidneys and gastrointestinal tract have recently been reviewed by Meyers [7]. Reno-alimentary fistulae may result from communication of the right kidney with the duodenum or the left kidney with the splenic flexure. The relationships between the kidneys and the gastrointestinal tract are illustrated in the anatomic cross-section in Figure 1 B. Rarely, renal disease may result in fistulae to the stomach, small bowel, appendix, or rectum [8]. Amlicke et al. [2] described a gastrocolic fistula in a patient who had received abdominal irradiation for carcinoma of the kidney. However, we have seen no previous reports of a gastrocolic fistula due to growth of a renal carcinoma as occurred in this patient. Case Reports Patient 1This 47-year-old man was investigated for back pain and a mass in the left flank. Radiologic investigation, including intravenous A 60-year-old female was admitted to the hospital for...

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“…In 10--40 ~o[9,17,29] treten die Fisteln daher auch erstmalig durch einen Gallensteinileus klinisch in Erscheinung. Colon dutch direkte Naht zus/itzlich eine Choledochusrevision wegen Konkrementen bzw.…”

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“…3 der Patienten mit benignen Leiden erfolgte zur Cholecystektomie und dem Defektverschlug im Duodenum bzw. Dickdarm.Ein zus~itzlicher oder alleiniger pathogenetischer Faktor ist die chronische Cholecystitis, die durch Beeintrfichtigung der Durchblutung zur Gallenblasennekrose und protrahierten Perforation in Nachbarorgane fiihrt.15 ~ der inneren Fisteln entstehen aufdem Boden yon Gallenblasencarcinomen [29], vereinzelt werden sie bei Echinokokkuscysten[20] und Carcinomen im Magendarmtrakt, bei Duodenaldivertikeln, Colitis ulcerosa u.a, beobachtet[12,29].Das tiefsitzende Ulcus duodeni penetrans kommt in ca. einer Abb.…”

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“…einer Abb. Insgesamt konnten his zumjetzigen Zeitpunkt in der Literatur 175 F/ille erfaBt werden[4,14,19,20,24,25,28,29].Es lassen sich demnach anhand yon Ursachen und H~iufigkeit 2 Hauptgruppen der spontanen biliodigestiven Fisteln unterscheiden: Die dutch Erkrankungen im Gallenbereich hervorgerufenen Verbindungen zu einem benachbarten Hohlorgan, an der Spitze die cholecystoduodenale Fistel und die durch pathologische Prozesse am gastrointestinalen Trakt verursachten enterobili~iren Kurzschltisse, die tiberwiegend den Chotedochus betreffen.Repr~isentativ hierftir ist die choledochoduodenate Fistel durch ein Ulcus duodeni penetrans. b Magendarmpassage: Groges Ulcus duodeni mit Perforation in Ductus choledochus und Ductus Wirsungianus und Kontrastmittelreftux a Abb.…”

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Die spontane innere biliodigestive Fistel und ihre Behandlung

Sachweh

1979

Langenbecks Arch Chiv

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The current clinical and therapeutic status of spontaneous intestinal biliodigestive fistulae in 14 of the author's own cases is presented. Two groups are distinguished: those "short-circuit" connections to the gastro-intestinal tract due to biliary disease--the biliodigestive fistula in the narrower sense as well as enterobiliary fistulae caused by gastro-intestinal disease. Differences in etiology, clinical presentation, therapy and operative lethality make it seem advisable to form two categories, A and B, and to compare the one with the others.

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Fistulae of the intestinal tract

Cited by 30 publications

References 225 publications

Jejunocolic Fistula Associated with an Intestinal T Cell Lymphoma

Jejunocolic Fistula Associated with an Intestinal T Cell Lymphoma

Unusual causes of gastrocolic fistula

Die spontane innere biliodigestive Fistel und ihre Behandlung

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