Ileo-colic fistula due to cancer of the descending colon. Operative results

Summary

A case of a fistula of the ileum and of the descending colon is reported. The presence of perforation of the colon was suggested by the radiological findings, though the diagnosis of ileo-colic fistula was not made by these means. This diagnosis was made and its cause identified only at operation. It was a cancer of the descending colon extending into the ileum and into the abdominal wall, and causing metastases into the mesocolic glands. An extensive block-resection encompassing all structures involved by the process was carried out with marked temporary improvement of the patient.