PRIMARY COLONO-GASTRIC FISTULA (clinical case)

Abstract

INTRODUCTION. The gastro-colonic fistula: a common definition of a pathological communication between the stomach and colon. This pathology is a rare complication. Fistula can be primary (spontaneous) or secondary (iatrogenic) and can be suspected by the presence of typical symptoms. Most often it allows by the barium enema. Computer tomography and endoscopy (colonoscopy, gastroscopy) in combination with biopsy also have a certain diagnostic value. Clinical case: We present a case report of gastro-colonic fistula in a 64-year-old men patient with colon adenocarcinoma. Symptoms and clinical examination did not reveal typical signs of this complication. Colonoscopy revealed abnormal communication between the colon and stomach. It was confirmed by gastroscopy and computed tomography. Biopsy verified colon adenocarcinoma. The patient underwent radical surgery. Morphological study confirmed colon adenocarcinoma with fistula formation into the stomach. CONCLUSION. Morphological confirmation of the neoplasm grows from the originating organ (colon) to the other (stomach) with the formation of the pathologicalfistulous tract allows the diagnosis of primary colono-gastric fistula. This definition makes clear the mechanism of the fistula's formation and indicates the localization of the primary tumor.