Year 2024 / Volume 116 / Number 11
Letter
Rare case of spontaneous duodeno-colic fistula

649-650

DOI: 10.17235/reed.2024.10754/2024

Qiting Zhan, Ke Gao, Yonglin Qiu, Yonghui Chen, Hongxing Guo,

Abstract
A 48-year-old woman presented to the outpatient clinic with a 4-month history of alternating diarrhea and constipation with bloating. Physical examination revealed a body mass index of 22.89 kg/m², normal development, and no tenderness or rebound tenderness in the abdomen. The patient has maintained a stable body size since birth, with a previously healthy status and no history of abdominal surgery or trauma. Endoscopic examination revealed an abnormal channel between the posterior wall of the duodenal bulb to the hepatic flexure of the colon. The patient was managed with conservative treatment, including acid suppression and modulation of the gut microbiota, and was closely monitored. Surgical intervention would only be considered in the event of severe symptoms or complications. Over a five-month follow-up period, the patient's symptoms improved.
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References
1. Li Z, Peng W, Yao H. Benign duodenocolic fistula: A case report and review of the literature. Front Surg. 2023 Jan 6;9:1049666.
2. Ferent IC, Lauro A, Rinaldi V, Frattaroli S, Varanese M, Saullo P, et al. Treating a Bypass with Bypass Surgery: Repair of a Duodeno-sigmoid Fistula Complicating Acute Diverticulitis. Dig Dis Sci. 2024 Mar;69(3):683–8.
3. Gao M. Spontaneous Duodeno-Colic Fistula: A Case Report and Literature Review. Int J Pathol Clin Res [Internet]. 2016 Dec 31 [cited 2024 Jul 1];2(4).
4. Kamath AS, Iqbal CW, Pham TH, Wolff BG, Chua HK, Donohue JH, et al. Management and Outcomes of Primary Coloduodenal Fistulas. Journal of Gastrointestinal Surgery. 2011 Oct;15(10):1706–11.
Huang Z, Cheng F, Wei W. Gastrocolic fistula as a rare complication of a benign gastric ulcer. Rev Esp Enferm Dig. 2022 Sep;114(9):569-570.
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Zhan Q, Gao K, Qiu Y, Chen Y, Guo H. Rare case of spontaneous duodeno-colic fistula. 10754/2024


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Publication history

Received: 30/08/2024

Accepted: 06/09/2024

Online First: 19/09/2024

Published: 11/11/2024

Article Online First time: 20 days

Article editing time: 73 days


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