J Korean Med Sci.  1996 Oct;11(5):437-439. 10.3346/jkms.1996.11.5.437.

A case of combined gastrojejunal and gastrocolic fistula secondary to gastric cancer

Affiliations
  • 1Department of Internal Medicine, St. Paul's Hospital, Catholic University Medical College, Seoul, Korea.

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.

Keyword

Gastrojejunal fistula; Gastrocolic fistula; gastric cancer

MeSH Terms

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
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