Korean Journal of Gastrointestinal Endoscopy 1995;15(4): 755-763.
증례 : 식도 위장관 ; 대장암에 의한 위 결장루 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Gastrocolic Fistula Secondary to Colon Cancer )
정준모, 최용환, 권영오, 김성국, 최성곤, 최영환, 유완식, 서인수 (Joon Mo Chung, Yong Hwan Choi, Young Oh Kweon, Sung Kook Kim, Sung Gon Choi, Young Hwan Cheigh, Wan Sik Yu and In Soo Suh)
Abstract
Gastrocelic fistula of malignant origin is a rare complication, usually due to gastric or colon cancer. Possible other etiologic factors resulting in gastrocolic fistula are peptic ulcer, trauma, carcinoid tumor, intestinal tuberculosis, Crohn's disease, lymphoma, intraabdominal abscess, diverticulitis and etc. At the present, earlier diagnosis and treatment of gastric and colon cancer may explain the low frequency of malignant gastrocolic fistula than the past but the review of Korean literatures revealed only two reports of gastrocolic fistula secondary to gastric cancer and another from benign gastric ulcer. Yet, there has been no report of fistula due to colon cancer. We experienced a case of colon cancer with postural dizziness, fecal eructation who was diagnosed as gastrocolic fistula by endoscopy, barium enema, UGI series and finally underwent operation. Therefore, we report this case with the review of literatures. (Kor J Gastrointest Endosc 15: 755-761, 1995)
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