Coloduodenal Fistula: The Role of MDCT on Diagnosing a Rare Entity

• Những tác giả chính: Giordano Rafael Tronco Alves (Tác giả), John Neoptolemos (Tác giả), Natalia Henz Concatto (Tác giả), Bruno Hochhegger (Tác giả), Klaus Loureiro Irion (Tác giả)
• Định dạng: Sách
• Được phát hành: Imaging Journal of Clinical and Medical Sciences - Peertechz Publications, 2015-03-21.
• Những chủ đề: Case Report
• Truy cập trực tuyến: Connect to this object online.

Tóm tắt

<p>Coloduodenal fistula is a very infrequent complication, which can arise from both benign and malignant  diseases. It consists in a pathological communication between the lumen of the colon and duodenum. The onset of signs and symptoms is generally sub-acute, and the majority of the patients will present with a non-specific abdominal pain, diarrhoea, nausea and vomiting [1]. Nevertheless, the clinical presentation may vary significantly - depending on the site of fistulisation - and some cases may never be diagnosed.</p><p>When not clinically suspected, cross-sectional imaging studies can be the only tool to suggest the diagnosis and provide information necessary for deciding among therapeutic options [2]. In this article, we report a case of coloduodenal fistula arising from a colonic malignancy, diagnosed by multi-detector computed tomography scan (MDCT). A brief discussion regarding the condition and its diagnostic challenges is presented.</p>

DOI

10.17352/2455-8702.000017