When a colonoscopy becomes a duodenoscopy: a palliative treatment of a malignant sigmoidoduodenal fistula.

Autor: Huber, Xaver, Droeser, Raoul A., Bernsmeier, Christine, Kirchhoff, Philipp
Předmět:
Zdroj: BMJ Case Reports; May2013, p1-2, 2p, 1 Color Photograph, 1 Black and White Photograph
Abstrakt: We report a case of a 63-year-old female patient suffering from cachexy, anaemia and intractable chronic diarrhoea. As an underlying disease, we found a malignant sigmoidoduodenal fistula of a primary adenocarcinoma of the sigma which represents a rare complication of a frequent disease. Despite the theoretical need for a pancreaticoduodenectomy, only a multivisceral en-bloc resection of the small intestine and left adnexa was performed because of bad general and nutritional condition; this case illustrates a successful multimodal treatment with a palliative intention of a locally advanced colon cancer to alleviate clinical symptoms. The further decourse with the fast development of hepatic metastases confirmed this decision. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index