Gastric Adenocarcinoma Presents as Gastrocolic Fistula and Perforation
| Autor: | Shahar Grunner, Hayim Gilshtein, Yael Klionsky |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Exploratory laparotomy business.industry medicine.medical_treatment Perforation (oil well) Transverse colon Rectum Curvatures of the stomach digestive system diseases Surgery Ileostomy medicine.anatomical_structure medicine Rectal Adenocarcinoma medicine.symptom business |
| Zdroj: | Journal of Tumor. 4:367-368 |
| ISSN: | 1819-6187 |
| DOI: | 10.17554/j.issn.1819-6187.2016.04.78 |
| Popis: | A 65-year-old man one year post neoadjuvant treatment for rectal adenocarcinoma in the lower rectum presented with severe abdominal pain and a two week history of watery diarrhea. An abdominal CT showed free air under the diaphragm with a suspected gastrocolic fistula. In the operating theatre, an exploratory laparotomy revealed cloudy fluid with pus and perforation of the transverse colon with a large mass invading the greater curvature of the stomach from the antrum into the transverse colon. A distal gastrectomy, extended right hemicolectomy, gastrojejunostomy, and end ileostomy were performed to excise the mass and the perforated area. |
| Databáze: | OpenAIRE |
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