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KMID : 0374919970180020243
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Inje Medical Journal
1997 Volume.18 No. 2 p.243 ~ p.247
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A Case of Duodenocolic Fistula Secondary to Duodenal ulcer
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Youn Sang-Jo
Chung Jung-Myung
Seol Sang-Young
Lee Youn-Jae
Hwang Hee-Seung
Kim Suk-Ju
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Abstract
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Duodenocolic fistula as a complication of a benign duodenal ulcer is indeed rare. Almost all reported cases were caused by the carcinoma of transverse colon or hepatic flexure. Other rare causes of duodenocolic fistulas are intestinal tuberculosis, ulcerative colitis, lymphoma, granulomatous enterocolitis, trauma, syphilis, typhoid fever and so on.
It,s prominent clinical feature is chronic diarrhea. Weight loss always occurs and the patient may complain of foul-smelling eructations. The diagnosis of duodenocolic fistula may be made by upper gastrointestinal barium studies, gastrofibroscopy and barium enema. Treatment consists of adequate preoperative preparation and operation.
A 23-year-old male patient was admitted with epigastric pain and diarrhea. He was diagnosed as duodenal fistula by gastrofibroscopy, gastrointestinal barium studies and finally con-firmed by operation with biopsy. Adequate preoperative preparation and operation was done with good results. Therefore, we report this rare case with the review of literatures.
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KEYWORD
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Duodenocolic fistula, Benign duodenal ulcer
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