Summary
The posterior surface of the proximal transverse colon and the anterior surface of the descending duodenum are intimately related. The clinical importance of this apposition is re-emphasized with presentation of two cases which had the uncommon phenomenon of benign duodenocolic fistula. These two rare cases of duodenocolic fistulas secondary to Crohn's disease are added to the literature. It is also suggested that in some cases, duodenal mucosal alterations with adjacent Crohn's disease of the colon might be the result of reactive inflammatory changes, and do not necessarily indicate contiguous extension of the granulomatous disease.
Similar content being viewed by others
References
Brindle MJ, Kane JF: Benign duodenocolic fistula. Br J Surg 53: 749, 1966
Clayton RS, Thornton WL: Benign duodenocolic fistula: Review of the literature and case report. Radiology 60: 832, 1953
Clinicopathological Conference: A case of Crohn's disease demonstrated at the postgraduate medical school of London. Br Med J 1: 1227, 1961
Cohen WN: Gastric involvement in Crohn's disease. Am J Roentgenol Radium Ther Nucl Med 101: 425, 1967
Dey KR, Latchmore AJ: Steatorrhoea due to duodeno-colic fistulae from perforation of a duodenal diverticulum with ectopic gastric epithelium. Br J Clin Pract 24: 444, 1970
Durrance FY: Regional enteritis of the duodenum. Am J Roentgenol Radium Ther Nucl Med 88: 658, 1962
Farmer RG, Hawk WA, Turnbull RB Jr: Crohn's disease of the duodenum (transmural duodenitis); Clinical manifestations: Report of 11 cases. Am J Dig Dis 17: 191, 1972
Gallivan GJ: Benign duodenocolic fistula. Med Trial Tech Q 17: 49, 1971
Goss CM (ed): Gray's Anatomy of the Human Body. Ed 26, Philadelphia, Lea and Febiger, 1954, p 1229
Haggitt RC, Meissner WA: Crohn's disease of upper gastrointestinal tract. Am J Clin Pathol 59: 613, 1973
Hammar B: Benign duodenocolic fistula. Br J Surg 52: 153, 1965
Harper RH: Radiology of the Duodenum. Chicago, Yearbook Medical Publishers, 1967, p 152
Herrington JL Jr: Duodenocolic fistula with perforation secondary to peptic ulcer. Am J Surg 113: 285, 1967
Higgins PM: Benign duodenocolic fistula. Can Med Assoc J 89: 893, 1963
Isherwood I, MacCaig J: Cholecysto-duodenocolic fistula presenting with megaloblastic anaemia. Clin Radiol 14: 91, 1963
Jones CB: Spontaneous duodeno-colic fistula (abstr). Gut 11: 1057, 1970
Jones GW Jr, Dooley MR, Schoenfield LJ: Regional enteritis with involvement of the duodenum. Gastroenterology 51: 1018, 1966
Kornfield HJ, Hogan RA: Duodenocolic fistula. Calif Med 115: 58 (Nov) 1971
Marshak RH, Lindner AE: Radiology of the Small Intestine. Philadelphia, W. B. Saunders, 1970, p 252
Masters H: Duodenal-colic fistula as a complication of regional ileitis. NY Mount Sinai Hosp 15: 264, 1948
McPeak CN: Benign duodeno-colic fistula: With report of two cases. Radiology 34: 343, 1940
Medhurst GA: Duodeno-colic fistula. Br J Radiol 29: 381, 1956
Meyers MA, Evans JA: Effects of pancreatitis on the small bowel and colon: Spread along mesenteric planes. Am J Roentgenol Radium Ther Nucl Med 119: 151, 1973
Meyers MA, Whalen JP: Roentgen significance of the duodenocolic relationships: An anatomic approach. Am J Roentgenol Radium Ther Nucl Med 117: 263
Nelson SW: Some interesting and unusual manifestations of Crohn's disease (“regional enteritis”) of the stomach, duodenum and small intestine. Am J Roentgenol Radium Ther Nucl Med 107: 86, 1969
Nemhauser GM, Thompson JC: Cholecystoduodenocolic fistula due to gallstones: Case report. Ann Surg 163: 81, 1966
Neville WE: Duodenocolic fistula due to acute cholecystitis. Am J Surg 87: 300, 1954
Ogilvie H: Non-malignant duodeno-colic fistula: Report of two cases. Ann Surg 131: 899, 1950
Ormandy L, Bargen JA: Thrombo-ulcerative colitis associated with cologastric and coloduodenal fistulas. Mayo Clin Proc 14: 550, 1939
Pautler EE, Woodall JC, Gaither JG: Benign duodenocolic fistula: Report of autopsy case due to peptic ulcer and review of literature. Arch Intern Med 102: 207, 1958
Railton SV: Benign duodeno-colic fistula. Can Med Assoc J 59: 267, 1948
Rees CE: Duodenocolic fistula with incompetent sphincter of Oddi. JAMA 100: 496, 1933
Roberts SM, Hamilton WW: Regional enteritis of the duodenum. Radiology 86: 881, 1966
Rosenqvist H, Sjoberg SG: Duodeno-colic fistulas. Acta Chir Scand 109: 293, 1955
Sanderson: Quoted by
Silva JR, Thomas JM: Isolated regional enteritis of the duodenum. Am J Gastroenterol 57: 349, 1972
Thompson WM, Cockrill H Jr, Rice RP: Regional enteritis of the duodenum. Am J Roentgenol Radium Ther Nucl Med 123: 252, 1975
Trickey SE, Dorling GC: Benign duodeno-colic fistula. Br J Radiol 39: 464, 1966
Van Patter WN, Bargen JA, Dockerty MB, et al: Regional enteritis. Gastroenterology 26: 347, 1954
Wise L, Kyriakos M, McCown A, et al: Crohn's disease of the duodenum: A report and analysis of eleven new cases. Am J Surg 121: 184, 1971
Won KH: Duodenocolic fistula due to carcinoma of the pancreas. Int Surg. 49: 566, 1968
Author information
Authors and Affiliations
About this article
Cite this article
Smith, T.R., Goldin, R.R. Radiographic and clinical sequelae of the duodenocolic anatomic relationship: Two cases of Crohn's disease with fistulization to the duodenum. Dis Colon Rectum 20, 257–262 (1977). https://doi.org/10.1007/BF02587188
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02587188