Benign Duodenocolic Fistula: a Case Report

Acta Med Iran. 2015 Aug;53(8):512-5.

Abstract

Benign duodenocolic fistula (DCF), known as a fistula between the duodenum and colon with or without cecum of nonmalignant origin, is an unusual complication of different gastrointestinal diseases. The present paper records a case in which the patient presented with chronic diarrhea, abdominal pain, weight loss as well as having a history of gastric ulcer. Most frequently the condition presents with signs of malabsorption such as weight loss and diarrhea, but other symptoms include nausea, vomiting (sometimes with fecal), and abdominal pain. Gastrointestinal inflammatory conditions are the usual causes. The most common ones are perforated duodenal ulcer and Crohn's disease. Barium enemas are usually diagnostic. Treatment consists of excising the fistula and repairing the duodenal and colonic defects. Closure of the fistula provides quick relief.

Keywords: Benign; Duodenocolic Fistula; Enterolysis.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Colonic Diseases / pathology*
  • Diarrhea / etiology
  • Duodenal Diseases / pathology*
  • Humans
  • Intestinal Fistula / pathology*
  • Male
  • Middle Aged
  • Nausea / etiology
  • Vomiting / etiology