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. 2005 Feb 10;3(1):9.
doi: 10.1186/1477-7819-3-9.

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

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

Matthew J Forshaw et al. World J Surg Oncol. .

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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Figures

Figure 1
Figure 1
Barium meal demonstrating fistulous connection between greater curvature of the stomach and the distal half of the transverse colon (arrowed).
Figure 2
Figure 2
Macroscopic en-bloc surgical specimen showing fistula between stomach and transverse colon (arrowed).

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