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Singapore Med J ; 50(6): e220-2, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19551302

ABSTRACT

Coloduodenal fistula is an uncommon disease entity. It can be caused by either a malignant or benign disease. We report the fifth case of coloduodenal fistula secondary to colonic diverticulosis. Our patient, a 60-year-old man, presented with severe diarrhoea and recurrent severe hypokalaemia. A partial colectomy with en bloc excision of the fistula was performed, and the duodenal defect was closed primarily. A literature review was carried out on the aetiology, presentation, diagnosis and management of coloduodenal fistula.


Subject(s)
Diverticulitis/complications , Diverticulitis/surgery , Fistula/complications , Fistula/surgery , Colectomy/methods , Diarrhea/diagnosis , Diverticulum/pathology , Humans , Hypokalemia/diagnosis , Male , Middle Aged , Treatment Outcome
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