Coloduodenal fistula is a very infrequent complication, which can arise from both benign and malignant diseases. It consists in a pathological communication between the lumen of the colon and duodenum. The onset of signs and symptoms is generally sub-acute, and the majority of the patients will present with a non-specific abdominal pain, diarrhoea, nausea and vomiting . Nevertheless, the clinical presentation may vary significantly - depending on the site of fistulisation - and some cases may never be diagnosed.
When not clinically suspected, cross-sectional imaging studies can be the only tool to suggest the diagnosis and provide information necessary for deciding among therapeutic options . In this article, we report a case of coloduodenal fistula arising from a colonic malignancy, diagnosed by multi-detector computed tomography scan (MDCT). A brief discussion regarding the condition and its diagnostic challenges is presented.
Published on: Mar 21, 2015 Pages: 4-5
Arghya Narayan Banerjee
Yeungnam University, South Korea
International Journal of Nanomaterials, Nanotechnology and Nanomedicine
Domenico Antonio Restivo
Nuovo Garibaldi Hospital, Italy
Journal of Neurology, Neurological Science and Disorders
University of Athens, Greece
Journal of Novel Physiotherapy and Physical Rehabilitation
Malgorzata Gabriela WASNIEWSKA
University of Messina, Italy
International Journal of Clinical Endocrinology and Metabolism
Democritus University of Thrace , Greece
International Journal of Vascular Surgery and Medicine