ABSTRACT
Colonogastric fistula, more commonly called "gastrocolic," is a rare complication of Crohn's colitis. The 17th incidence of this fistula is reported. Fecal halitosis is a prominent symptom. Barium enema is the most accurate diagnostic tool. Colonoscopy plays a role in delineating surgical therapy. The stomach resection is described. Because of its pathogenesis, the authors prefer to call this "colonogastric" fistula, rather than gastrocolic fistula.
Subject(s)
Colonic Diseases/etiology , Crohn Disease/complications , Gastric Fistula/etiology , Intestinal Fistula/etiology , Adult , Colonic Diseases/pathology , Colonic Diseases/surgery , Crohn Disease/pathology , Crohn Disease/surgery , Female , Gastric Fistula/pathology , Gastric Fistula/surgery , Humans , Intestinal Fistula/pathology , Intestinal Fistula/surgerySubject(s)
Abdomen , Nursing Assessment , Nursing Process , Pain/diagnosis , Adult , Diagnosis, Differential , Education, Nursing, Continuing , Female , Humans , Male , Middle AgedABSTRACT
A patient with adenomatous polyposis coli (APC) without extraintestinal lesions is presented. The clinical course was complicated by rectal adenocarcinoma following subtotal colectomy. A primary adenocarcinoma arising in a villous adenoma within the ileostomy stoma developed seven years later. The varied pathology of gastric and small intestinal involvement in APC/Gardner's syndrome is reviewed. Greater awareness of these lesions has implications for further management.
Subject(s)
Adenocarcinoma/pathology , Colonic Neoplasms/surgery , Ileostomy , Intestinal Polyps/surgery , Neoplasms, Multiple Primary , Abdominal Muscles , Adenocarcinoma/etiology , Adenoma/pathology , Adult , Colectomy , Colonic Neoplasms/pathology , Cystadenoma/pathology , Humans , Ileostomy/adverse effects , Intestinal Perforation/surgery , Intestinal Polyps/pathology , Male , Rectal Neoplasms/pathology , RecurrenceABSTRACT
Intra-abdominal desmoid tumors are known to be associated with familial polyposis coli, but have not been previously described in association with carcinoma of the sigmoid colon. This is a case report of a patient with intra-abdominal desmoid tumor associated with carcinoma of the sigmoid colon which manifested as a small-bowel obstruction. This appears to be the first case of its kind reported.
