1.A Case of Malignant Duodenocolic Fistula Diagnosed by Endoscopy.
Korean Journal of Gastrointestinal Endoscopy 1989;9(2):203-205
The occurrence of a fistula between the duodenum and the colon is very rare, although these two structures commonly lie in intimate relationship to each other. It is not uncommon for tumor of the right colon and proximal transverse colon to involve the duodenum by continuity, but fistulous connection between the duodenum and colon are infrequent In most of the reported malignant cases, the fistulas follow carcinomas of the transverse colon or the hepatic flexure of the colon. We report a rare case of malignant duodenocolic fistula which was first suspected by endoscopic examination and confirmed by operation.
Colon
;
Colon, Transverse
;
Duodenum
;
Endoscopy*
;
Fistula*
2.Successful Palliation of a Malignant Cologastric Fistula with a Covered Self-Expanding Metal Stent.
Mathilde Therese Winther BREITENBAUCH ; Anders TOTTRUP
Clinical Endoscopy 2015;48(6):576-578
When patients present with malignant cologastric fistulas, the tumor stage is often advanced and management is only palliative. We report the case of a 75-year-old man with a symptomatic cologastric fistula arising from an advanced tumor in the transverse colon, previously stented owing to malignant obstruction. An 8-cm-long covered self-expanding metal stent (COMVI enteral colonic stent; Taewoong Medical) was placed inside the primary stent, which sealed the fistula and completely alleviated the symptoms. Considering the successful outcome, we propose that insertion of a covered stent be considered in the palliative management of patients with malignant cologastric fistulas.
Aged
;
Colon
;
Colon, Transverse
;
Fistula*
;
Humans
;
Stents*
3.Surgical Strategy for Colonic Intussusception Caused by a Giant Colonic Lipoma: A Report of Two Cases and a Review of the Literature.
Seung Jin KWAG ; Sang Kyung CHOI ; Eun Jung JUNG ; Chi Young JUNG ; Sang Ho JUNG ; Tae Jin PARK ; Young Tae JU
Annals of Coloproctology 2014;30(3):147-150
A colon lipoma is a remarkably rare tumor. In most cases, the tumors are asymptomatic and small in size, need to be differentiated from malignant tumors, and do not need any special treatment. Selection of the right surgical strategy depends on the status of bowel, as well as the size and the location of tumor. We encountered two patients with giant submucosal lipomas that had induced intussusceptions: one with a lipoma in the transverse colon and the other with a lipoma in the ascending colon. The diagnoses were made by using histological examinations. We report the clinical features, diagnoses, and treatments of, as well as our experience with, these two uncommon cases, and we present a review of the literature on this subject.
Colon*
;
Colon, Ascending
;
Colon, Transverse
;
Diagnosis
;
Humans
;
Intussusception*
;
Laparoscopy
;
Lipoma*
4.A Case of Congenital Colonic Atresia Associated with Imperforate Anus.
Sung Eun JUNG ; Dae Yeon KIM ; Seong Cheol LEE ; Kwi Won PARK ; Woo Ki KIM
Journal of the Korean Association of Pediatric Surgeons 1998;4(2):163-165
The association of congenital colonic atresia with imperforate anus is extremely rare. The authors were able to find only three case on our investigation of the English literature. We have recently managed a female infant with imperforate anus associated with atresia of the transverse colon.
Anus, Imperforate*
;
Colon*
;
Colon, Transverse
;
Female
;
Humans
;
Infant
5.A Case of Colonic Intussusception Occurring after Colonoscopic Polypectomy.
Sa Il KIM ; Yong Cheol JEON ; Gil Woo LEE ; Young Taek KIM ; Tae Yeob KIM ; Chang Soo EUN ; Dong Soo HAN ; Joo Hyun SOHN
Korean Journal of Gastrointestinal Endoscopy 2010;41(3):172-175
Intestinal intussusception in adults is a rare disease. Most of the cases of adult intussusception are secondary to a definable lesion, and so surgical treatment generally needed. Intussusception that occurs after colonoscopic polypectomy is apparently a rare malady. A 77-year old man undergoing colonoscopic polypectomy was diagnosed as having colonic intussusception at the hepatic flexure. As there was no clinical improvement with conservative treatment, he underwent segmental resection of the ascending and transverse colon. Pathologic examination revealed that the colonoscopic polypectomy site was a leading point of the intussusception.
Adult
;
Colon
;
Colon, Transverse
;
Colonoscopy
;
Humans
;
Intussusception
;
Rare Diseases
6.Percutaneous colonic stent insertion via a radiologically placed distal 'cecostomy' tube for the management of acute malignant bowel obstruction.
Pavan Singh NAJRAN ; Jins KALLAMPALLIL ; Jon BELL ; Hans Ulrich LAASCH ; Damian MULLAN
Gastrointestinal Intervention 2016;5(2):153-155
Percutaneous cecostomy is an uncommon procedure but is reported as an effective temporising measure to achieve acute decompression of bowel obstruction. It has been reported as a safe procedure in the setting of bowel obstruction providing relief of symptoms. The insertion of a cecostomy in the distal colon is not routinely advised as it will not allow passage of formed faeces. Cases of antegrade stenting of proximal colonic obstruction via cecostomy have been described; however, antegrade stenting of the distal colon from access in the ascending colon can be technically challenging. We describe a case of a percutaneous colostomy inserted temporally at the splenic flexure, which provided close access to an obstructing descending colonic tumour, allowing definitive management with placement of a colonic stent. This technical feasibility case provides evidence that a temporary cecostomy placed in the distal colon can be performed as a measure to facilitate definitive management.
Cecostomy
;
Colon*
;
Colon, Ascending
;
Colon, Descending
;
Colon, Transverse
;
Colostomy
;
Decompression
;
Stents*
7.A Case of Rectal Anisakiasis.
Suk Tae JANG ; Ik Jun CHOI ; Woo Tae KIM ; Hyeug LEE ; Seoung Woo LEE ; Sang Bum KANG ; Soon Woo NAM ; Dong Soo LEE
Korean Journal of Gastrointestinal Endoscopy 2006;32(2):156-159
Anisakiasis refers to the infestation of humans by a species of marine nematode larvae belonging to the subfamily Anisakidae, and this condition is seen in people who eat inadequately prepared or raw salt-water fish and squid. Because Koreans like to eat raw fish, anisakiasis of the stomach has been reported occasionally, but involvement of the small bowel or colon is relatively rare. In the case of the colon, anisakiasis of the ascending colon or the transverse colon has been only infrequently reported, and the incidence of rectal anisakiasis is very rare. The present case is a 58-year-old man with no definite abdominal symptoms who visited our hospital for a medical checkup. A 2 cm sized whitish linear live larva was revealed in the rectum and it was removed by colonoscopy.
Anisakiasis*
;
Anisakis
;
Colon
;
Colon, Ascending
;
Colon, Transverse
;
Colonoscopy
;
Decapodiformes
;
Humans
;
Incidence
;
Larva
;
Middle Aged
;
Rectum
;
Stomach
8.A Case of Inserting Two Self-expandable Metal Stents in Dual Malignant Colonic Obstructions.
Ju Wan KIM ; Chang Hwan CHOI ; Ji Hoon PARK ; Bong Ki CHA ; Ki Seong KIM ; Seung Mun JUNG ; Jae Hyuk DO ; Se Kyung CHANG
Korean Journal of Gastrointestinal Endoscopy 2011;42(3):170-174
Malignant colonic obstruction can lead an emergency operation for decompression, and this can cause post-operative complications due to poor bowel preparation. Self-expandable metal stent (SEMS) insertion is useful for avoiding an emergency operation and unnecessary complications. However, SEMS insertion for dual malignant colonic obstructions is very rare. We report here on a case of two SEMS that were inserted in dual malignant colonic obstructions caused by synchronous colon cancer. A 66-year-old man visited our hospital due to abdominal distension. Sigmoidoscopy and an abdominopelvic computerized tomographic (CT) scan revealed synchronous colon cancer at the splenic flexure and distal descending colon with dual obstruction. The initial SEMS insertion on the descending colon was not effective for decompression due to the proximal obstruction. After the second SEMS insertion on the splenic flexure through the first stent, all the signs and symptoms due to obstruction disappeared. SEMS insertion is considered to be useful for treating dual malignant colonic obstruction caused synchronous colon cancer.
Aged
;
Colon
;
Colon, Descending
;
Colon, Transverse
;
Colonic Neoplasms
;
Decompression
;
Emergencies
;
Humans
;
Sigmoidoscopy
;
Stents
9.A Case of Idiopathic Megacolon Presented by Constipation.
Hong Joo KIM ; Joon Haeng LEE ; Hee Jung SON ; Young Ho KIM ; Poong Ryul LEE ; Jae Joon KIM ; Eun Yoon CHO
Korean Journal of Gastrointestinal Motility 2002;8(2):191-196
The condition of an idiopathically dilated colon appears to be clinically heterogenous, very uncommon, and subsequently often poorly managed. Recently, one case of idiopathic megacolon presented by constipation was investigated. The patient was abruptly constipated 6 months prior to the hospital visit. The results of a barium enema and colonoscopy were nonspecific. On plain abdominal radiographs, the ascending and transverse colon were markedly dilated, and the descending colon was not visible. During the conservative management, which included laxative and prokinetic medication, the clinical symptoms and the colonic dilatations on plain radiographs were reduced, and discharged. After that however, repetitive admissions due to abdominal distension and constipation ensued, and therefore a total colectomy was performed in order to improve the patient's quality of life.
Barium
;
Colectomy
;
Colon
;
Colon, Descending
;
Colon, Transverse
;
Colonoscopy
;
Constipation*
;
Dilatation
;
Enema
;
Humans
;
Megacolon*
;
Quality of Life
10.A Case of Idiopathic Megacolon Presented by Constipation.
Hong Joo KIM ; Joon Haeng LEE ; Hee Jung SON ; Young Ho KIM ; Poong Ryul LEE ; Jae Joon KIM ; Eun Yoon CHO
Korean Journal of Gastrointestinal Motility 2002;8(2):191-196
The condition of an idiopathically dilated colon appears to be clinically heterogenous, very uncommon, and subsequently often poorly managed. Recently, one case of idiopathic megacolon presented by constipation was investigated. The patient was abruptly constipated 6 months prior to the hospital visit. The results of a barium enema and colonoscopy were nonspecific. On plain abdominal radiographs, the ascending and transverse colon were markedly dilated, and the descending colon was not visible. During the conservative management, which included laxative and prokinetic medication, the clinical symptoms and the colonic dilatations on plain radiographs were reduced, and discharged. After that however, repetitive admissions due to abdominal distension and constipation ensued, and therefore a total colectomy was performed in order to improve the patient's quality of life.
Barium
;
Colectomy
;
Colon
;
Colon, Descending
;
Colon, Transverse
;
Colonoscopy
;
Constipation*
;
Dilatation
;
Enema
;
Humans
;
Megacolon*
;
Quality of Life