Start Submission Become a Reviewer

Reading: Gastrocolic fistula: a case report

Download

A- A+
Alt. Display

Article

Gastrocolic fistula: a case report

Authors:

Daniele Frisone ,

Department of Oncology, Hopital du Valais, Centre Hospitalier du Valais Romand, Sion, CH
About Daniele

daniele.frisone1@gmail.com

X close

Niels Gobin,

Department of Internal Medicine, Hopital du Valais, Centre Hospitalier du Valais Romand, Sion, CH
About Niels

MD

X close

Philippe Renard,

Department of Gastroenterology, Hopital du Valais, Centre Hospitalier du Valais Romand, Sion, CH
About Philippe

MD

X close

Sonaz Malekzadeh,

Department of Diagnostic and Interventional Radiology, Fribourg Hospital, Fribourg, CH
About Sonaz

MD

X close

Christophe Constantin,

Department of Radiology, Hôpital du Valais, Centre Hospitalier du Valais Romand, Sion; Department of Radiogy, Hopitaux Universitaires Geneve, Geneva, CH
About Christophe

MD

X close

Luc E. Barberini

Department of Internal Medicine, Réseau Hospitalier Neuchâtelois, Hôpital de la Chaux-de- Fonds, La Chaux-de-Fonds, CH
About Luc E.

MD

X close

Abstract

Introduction: Gastrocolic fistula (GCF) is a rarely reported complication of numerous diseases. When associated with malignancies, the prognosis is usually poor. The classic presentation includes diarrhea, feculent vomiting, and weight loss.

Presentation of Case: We hereby report the case of a patient who presented with weight loss and dyspepsia for 2 months, in the absence of diarrhea. Diagnosis of a GCF was made by performing a gastroscopy and a computed tomography scan. The biopsy taken during gastroscopy showed a lower tract gastrointestinal cancer, and the patient underwent surgical treatment by “en bloc” resection. After an anastomosis leak, he recovered well and underwent adjuvant chemotherapy. After a 3-year follow-up, the patient is alive and disease free.

Discussion: This case presentation, together with a literature review, underlines that variable symptoms and signs that can be associated to this rare condition. The role of new imaging techniques such as computed tomography scan, compared with barium enema, should also be evaluated in this setting. The absence of lymph-node involvement may predict a good prognosis.

Conclusion: GCF is a rare presentation of malignant diseases. In order to diagnose this rare condition a high grade of suspicion is needed, as symptoms are variable and most diagnostic tools are not sensitive enough to recognize it.

How to Cite: Frisone D, Gobin N, Renard P, Malekzadeh S, Constantin C, Barberini LE. Gastrocolic fistula: a case report. International Journal of Surgery: Oncology. 2020;5(5):e94. DOI: http://doi.org/10.1097/IJ9.0000000000000094
18
Views
4
Downloads
Published on 09 Nov 2020.
Peer Reviewed

Downloads

  • PDF (EN)