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World Journal of Surgical Oncology
Published in: World Journal of Surgical Oncology 1/2005

Open Access 01-12-2005 | Case report

Long-term survival from gastrocolic fistula secondary to adenocarcinoma of the transverse colon

Authors: Matthew J Forshaw, Jamasp K Dastur, Kothandaraman Murali, Michael C Parker

Published in: World Journal of Surgical Oncology | Issue 1/2005

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Abstract

Background

Gastrocolic fistula is a rare presentation of both benign and malignant diseases of the gastrointestinal tract. Malignant gastrocolic fistula is most commonly associated with adenocarcinoma of the transverse colon in the Western World. Despite radical approaches to treatment, long-term survival is rarely documented.

Case presentation

We report a case of a 24-year-old woman who presented with the classic triad of symptoms associated with gastrocolic fistula. Radical en-bloc surgery and adjuvant chemotherapy were performed. She is still alive ten years after treatment.

Conclusions

Gastrocolic fistula is an uncommon presentation of adenocarcinoma of the transverse colon. Radical en-bloc surgery with adjuvant chemotherapy may occasionally produce long-term survival.
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Literature
1.
Schweitzer RJ, Osborne MP: Gastrocolic fistula complicating carcinoma; report of case due to carcinoma of colon, with successful resection. Am J Surg. 1953, 85: 775-779. 10.1016/0002-9610(53)90567-4.CrossRefPubMed
2.
Lahey FH, Swinton NW: Gastrojejunal ulcer and gastrojejunocolic fistula. Surg Gynecol Obstet. 1935, 61: 599-612.
3.
4.
Amlicke JA, Ponka JL: Gastrocolic and gastrojejunocolic fistulas. A report of sixteen cases. Am J Surg. 1964, 107: 744-750. 10.1016/0002-9610(64)90304-6.CrossRefPubMed
5.
Matsuo S, Eto T, Ohara O, Miyazaki J, Tsunoda T, Kanematsu T: Gastrocolic fistula originating from transverse colon cancer: report of a case and review of the Japanese literature. Surg Today. 1994, 24: 1085-1089.CrossRefPubMed
6.
Christiansen S, Sachatello C, Griffin WO: Management of gastrocolic fistula. Am Surg. 1981, 47: 63-66.PubMed
7.
Oh PI, Zalev AH, Colapinto ND, Deodhare SS, Brandwein J, Warren RE: Gastrocolic fistula secondary to primary gastric lymphoma. J Clin Gastroenterol. 1995, 20: 45-48.CrossRefPubMed
8.
Lynch RC, Boese HL: Carcinoid tumor of transverse colon complicated by gastrocolic fistula: survival following resection. Surgery. 1955, 38: 600-604.PubMed
9.
Chiang JM, Wang JY: Gastrocolic fistula due to a metastatic marginal ulcer from carcinoma of the cervix. Int J Gynaecol Obstet. 1994, 47: 173-174. 10.1016/0020-7292(94)90362-X.CrossRefPubMed
10.
Aqel NM, Tanner P, Drury A, Francis ND, Henry K: Cytomegalovirus gastritis with perforation and gastrocolic fistula formation. Histopathology. 1991, 18: 165-168.CrossRefPubMed
11.
Greenstein AJ: Surgery for Crohn's disease. Surg Clin North Am. 1987, 67: 573-596.PubMed
12.
Murphy S, Pulliam TJ, Lindsay J: Delayed gastrocolic fistula following endoscopic gastrotomy. J Am Geriatr Soc. 1991, 39: 532-537.PubMed
13.
Mallaiah L, Brozinsky S, Fruchter G, Siraj Uddin M: Malignant gastrocolic fistula case report and review of the literature. Am J Proctol Gastroenterol Colon Rectal Surg. 1980, 31: 12-17.PubMed
14.
Singh V, Wadleigh R: Gastrocolic fistula as a complication of colonic carcinoma. Acta Oncologica. 1997, 36: 817-818.CrossRefPubMed
15.
16.
Skoog-Smith AW, Jaspin G, Sullivan JV: Gastrojejunocolic fistulas : postoperative complications in 19 cases. Surg Gynecol Obstet. 1950, 91: 447-454.PubMed
17.
Localio SA, Stone P, Hinton JW: Gastrojejunocolic fistula. Surg Gynecol Obstet. 1953, 96: 455-462.PubMed
18.
19.
Lee WJ, Horton KM, Fishman EK: Gastrocolic fistula due to adenocarcinoma of the colon: simulation of primary gastric leiomyosarcoma on CT. Clin Imaging. 1999, 23: 295-297. 10.1016/S0899-7071(99)00156-4.CrossRefPubMed
20.
Choi SW, Yang JM, Kim SS, Kang SH, Ro HJ, Song KS, Ha HK, Lim KW, Kim JS: A case of combined gastrojejunal and gastrocolic fistula secondary to gastric cancer. J Korean Med Sci. 1996, 11: 437-439.PubMedCentralCrossRefPubMed
21.
Mimidis K, Papadopoulos V, Katsinelos P, Deftereos S, Filippou D, Kartalis G: Gastrocolic fistula secondary to nonsteroidal anti-inflammatory drugs abuse in a cirrhotic patient. Rom J Gastroenterol. 2004, 13: 39-41.PubMed
22.
Lorenzo GA, Beal JM: Gastrocolic fistula. Am J Surg. 1968, 115: 724-726. 10.1016/0002-9610(68)90111-6.CrossRefPubMed
23.
Taylor MC, Pounder D, Ali-Ridha NH, Bodurtha A, MacMullin EC: Prognostic factors in colorectal carcinoma of young adults. Can J Surg. 1988, 31: 150-153.PubMed
24.
Cusack JC, Giacco GG, Cleary K, Davidson BS, Izzo F, Skibber J, Yen J, Curley SA: Survival factors in 186 patients younger than 40 years old with colorectal adenocarcinoma. J Am Coll Surg. 1996, 183: 105-112.PubMed
25.
Adkins RB, DeLozier JB, McKnight WG, Waterhouse G: Carcinoma of the colon in patients 35 years of age and younger. Am Surg. 1987, 53: 141-145.PubMed
Metadata
Title
Long-term survival from gastrocolic fistula secondary to adenocarcinoma of the transverse colon
Authors
Matthew J Forshaw
Jamasp K Dastur
Kothandaraman Murali
Michael C Parker
Publication date
01-12-2005
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2005
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-3-9

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