MALIGNANT DUODENOCOLIC FISTULA- CASE REPORT OF RARE COMPLICATION OF COLONIC CANCER TREATED BY MULTIVISCERAL RESECTION

  • Edzevit Kadri General City Hospital, 8th September Department of Abdominal Surgery in Skopje, North Macedonia
  • Dane Nedelkovski City General Hospital 8thSeptember, Skopje, North Macedonia
  • Evgenija Lazova City General Hospital 8thSeptember, Skopje, North Macedonia
  • Katarina Panikj General Hospital of Kochani, North Macedonia

Abstract

Duodenocolic fistulas created by invasive cancer of the colon are rare complications. They are presented with serious electrolytic and nutritional disturbances due to vomiting, diarrhoea, abdominal pain, GI bleeding, and weight loss. Case report: In this paper we present young male patient with malignant duodenocolic fistula between ascendant colon and D2 portion of duodenum and pancreatic head, treated with right hemicolectomy and pancreaticoduoedenectomy. Postoperative histopathology confirmed poorly differentiated colonic adenocarcinoma without spreading to lymph nodes and major vessels. Patient is still alive after three years of the operation which led as to conclusion that this type of radical operation may represent one of the best treatments for this rare complication, provides good quality of life and is prognostically justifiable.


Keywords: malignant duodenocolic fistula, advanced colorectal carcinoma (CRC), right hemicolectomy, pancreaticoduoedenectomy.

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Published
2022-12-29
How to Cite
KADRI, Edzevit et al. MALIGNANT DUODENOCOLIC FISTULA- CASE REPORT OF RARE COMPLICATION OF COLONIC CANCER TREATED BY MULTIVISCERAL RESECTION. Journal of Morphological Sciences, [S.l.], v. 5, n. 3, p. 9-12, dec. 2022. ISSN 2545-4706. Available at: <https://jms.mk/jms/article/view/vol5no3-2>. Date accessed: 09 feb. 2023.
Section
Articles