Author/Authors :
Soheili، Marzieh نويسنده School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. Soheili, Marzieh , Honarmand، Shirin نويسنده Department of Medicine, School of Medicine, Kurdistan University of Medical Sciences, Kurdistan, Iran. Honarmand, Shirin , Soleimani، Heshmatollah نويسنده Department of Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. Soleimani, Heshmatollah , Elyasi، Anvar نويسنده Department of Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. Elyasi, Anvar
Abstract :
Benign duodenocolic fistula (DCF), known as a fistula between the duodenum and colon with or without cecum of nonmalignant origin, is an unusual complication of different gastrointestinal diseases. The present paper records a case in which the patient presented with chronic diarrhea, abdominal pain, weight lossas well as having a history of gastric ulcer. Most frequently the condition presents with signs of malabsorption such as weight loss and diarrhea, but other symptoms include nausea, vomiting (sometimes with fecal), and abdominal pain. Gastrointestinal inflammatory conditions are the usual causes. The most common ones are perforated duodenal ulcer and Crohn’s disease. Barium enemas are usually diagnostic. Treatment consists of excising the fistula and repairing the duodenal and colonic defects. Closure of the fistula provides quick relief.
