Korean J Gastrointest Endosc > Volume 31(6); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(6): 414-418.
전형적인 내시경 소견을 보인 악성 십이지장-대장 누공 1예
박진민·정우철·이강문·이보인·천지성·우영식·장우임·양진모·최규용·정인식
가톨릭대학교 의과대학 내과학교실
Case of Malignant Duodeno-Colic Fistula Showing Typical Endoscopic Findings
Jin-Min Park, M.D., Woo-Chul Chung, M.D., Kang Moon Lee, M.D., Bo-In Lee, M.D., Ji-Sung Chun, M.D., Young-Sik Woo, M.D., U-Im Chang, M.D., Jin Mo Yang, M.D., Kyu-Yong Choi, M.D. and In-Sik Chung, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Malignant duodeno-colic fistula is a rare complication of advanced colon cancer. The right colon cancer adjacent to the hepatic flexure can occasionally invade into the pancreas or duodenum, but the formation of fistula between the duodenum and colon is very rare. The patients usually complain chronic diarrhea, vomiting and belching of foul smelling gas. This results in physiologic complications such as weight loss, malnutrition, and electrolyte imbalance. It is well known that the barium enema is the most useful diagnostic procedure. We experienced the case of duodeno- colic fistula that arose from the right colon cancer, and the fistula was directly confirmed by an endoscopic examination. (Korean J Gastrointest Endosc 2005;31:414⁣418)
Key Words: Duodeno-colic fistula, Colon cancer, Endoscopy
주요어: 십이지장-대장 누공, 대장암, 내시경 검사
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