Aggressive Treatment of Malignant Duodenocolic Fistula : A Case Report

Abstract

Malignant duodenocolic fistula is a rare complication of gastrointestinal malignancy for which carcinoma of the ascending colon is the most common cause. A case of 39-year-old female with duodenocolic fistula caused by adenocarcinoma of the hepatic flexure was reported. Successful surgical treatment was achieved by right hemicolectomy en bloc with proximal pancreatoduodenectomy. The patient received a full course of adjuvant chemotherapy and she is now completely free of symptom and without any evidence of recurrent disease, 2 years after the resection.

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