Gastrocolic fistula secondary to primary gastric lymphoma
Toufik Berri
The Pan African Medical Journal. 2014;17:15. doi:10.11604/pamj.2014.17.15.3787

Create an account  |  Sign in
EPI Helina 2017
"Better health through knowledge sharing and information dissemination "

Images in medicine

Gastrocolic fistula secondary to primary gastric lymphoma

Cite this: The Pan African Medical Journal. 2014;17:15. doi:10.11604/pamj.2014.17.15.3787

Received: 26/12/2013 - Accepted: 06/01/2014 - Published: 15/01/2014

Key words: Gastrocolic fistula, gastric lymphoma, stomach

© Toufik Berri et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/17/15/full

Corresponding author: Toufik Berri, Department of Surgery, Tourabi Boudjemaa Hospital,Bechar, Algeria (t.berri@yahoo.fr)


Gastrocolic fistula secondary to primary gastric lymphoma

 

Toufik Berri1,&

 

1Department of Surgery, Tourabi Boudjemaa Hospital, Bechar, Algeria

 

 

&Corresponding author
Toufik Berri, Department of Surgery, Tourabi Boudjemaa Hospital, Bechar, Algeria

 

 

Image in medicine

Gastrocolic fistula (GCF) is an abnormal communication between a portion of the stomach and the transverse colon. It is a rare entity and could be due to benign or malignant disease. The gastric or colonic adenocarcinoma is the most common malignant cause, while lymphoma is rarely reported. The cornerstone for detecting the fistula remains the barium enema. Barium meal and computed tomography are alternatives for the diagnosis. Gastroscopy and colonoscopy are not first-line examinations to bring out the GCF, but they must be used to obtain cytological and biopsy materials. The therapy for GCF remains surgical. A 36-year-old woman had a non-Hodgkin's gastric lymphoma for 15 years ago treated by chemotherapy. After complete remission, she presented with abdominal pain, fecal halitosis, feculent vomiting, chronic diarrhea and weight loss of 15 kg. A palpable mass in the left hypochondriac region was found on abdominal examination. Gastroscopy revealed a vegetating tumor on the fundus with fistulous orifice in the great curvature of the stomach. Barium meal showed early opacification of the colon and a fistula between the stomach and transverse colon (A). Abdominal CT demonstrated a wall thickening of the great curvature of the stomach with GCF (B). There is neither adjacent nor distant involvement by the lymphoma. According to Lugano staging system, the lymphoma was classified as stage IIE. The patient was prepared for an en bloc resection of the involved stomach and colon but she died before undergoing the operation.

Figure 1: A) Barium meal; B) Abdominal computed tomography. The arrow shows the gastrocolic fistula

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 27 (May - August 2017)

Article tools

This article authors

On Pubmed
On Google Scholar

Navigate this article

Rate this article

Altmetric

PAMJ is a member of the Committee on Publication Ethics

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved