A case of combined gastrojejunal and gastrocolic fistula secondary to gastric cancer.
10.3346/jkms.1996.11.5.437
- Author:
Sang Wook CHOI
1
;
Jin Mo YANG
;
Sung Soo KIM
;
Sung Ho KANG
;
Hee Jeong RO
;
Kyung Sup SONG
;
Hyun Kwon HA
;
Keun Woo LIM
;
Jae Sung KIM
Author Information
1. Department of Internal Medicine, St. Paul's Hospital, Catholic University Medical College, Seoul, Korea.
- Publication Type:Case Report ; Research Support, Non-U.S. Gov't
- Keywords:
Gastrojejunal fistula;
Gastrocolic fistula;
gastric cancer
- MeSH:
Case Report;
Colonic Diseases/complications/*pathology;
Endoscopy, Gastrointestinal;
Human;
Intestinal Fistula/complications/*pathology;
Jejunal Diseases/complications/*pathology;
Male;
Middle Age;
Stomach Neoplasms/*complications/pathology;
Support, Non-U.S. Gov't;
Tomography Scanners, X-Ray Computed
- From:Journal of Korean Medical Science
1996;11(5):437-439
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.