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Malignant duodenocolic fistula: Report of two cases, each with one or more other synchronous gastrointestinal cancers

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Diseases of the Colon & Rectum

Summary

Two patients had duodenocolic fistulas, each following a carcinoma of the colon in the area of the hepatic flexure that had perforated into the duodenum. The first patient was treated by a radical pancreatoduodenectomy with right colectomy; the second by subtotal colectomy with excision of the duodenal wall and suture. Both patients are alive and without evidence of recurrent disease. In addition, the first patient had two other primary carcinomas, in the cecum and in the stomach, and the second patient had another primary in the sigmoid. The definitive procedure had to be adjusted to encompass all lesions. The radical operation in one stage seems to be the preferred procedure and certainly is most satisfactory as a cancer operation. Our patient treated by this procedure has survived more than 11 years.

An intestinal fistula related to colonic carcinoma, even though rare, should not be considered as a separate entity. Treatment of the cancer with anen-bloc resection of the communicating organs should be employed if possible.

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Author notes

  1. George R. Valentini M.D. (Assistant Adjunct Surgeon)

    Present address: Lenox Hill Hospital, New York

  2. John O. Vieta M.D. (Director of Surgery) & Rodrico Blanco M.D. (Associate Director of Surgery)

    Present address: Hospital for Joint Diseases, New York

Authors and Affiliations

  1. Department of Surgery, Lenox Hill Hospital, 100 East 77th Street, 10021, New York, New York

    John O. Vieta M.D. (Director of Surgery), Rodrico Blanco M.D. (Associate Director of Surgery) & George R. Valentini M.D. (Assistant Adjunct Surgeon)

Authors
  1. John O. Vieta M.D.
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  2. Rodrico Blanco M.D.
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  3. George R. Valentini M.D.
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Vieta, J.O., Blanco, R. & Valentini, G.R. Malignant duodenocolic fistula: Report of two cases, each with one or more other synchronous gastrointestinal cancers. Dis Colon Rectum 19, 542–552 (1976). https://doi.org/10.1007/BF02590951

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