{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:02:19Z","timestamp":1756339339571,"version":"3.44.0"},"reference-count":28,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,2,10]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Jejunocolic fistula, a late complication of intestinal lymphoma, is a rare entity with only five reported cases in the literature. We report a young male presenting with a left lateral neck mass 5 years ago which then progressed to superior vena cava syndrome. Despite receiving radiotherapy and two cycles of chemotherapy, there was still tumour progression. He presented with a 2-week history of diarrhoea, haematochezia and weight loss for which antibiotics provided no relief. Esophagogastroduodenoscopy and colonoscopy showed a jejunocolic fistula. After discussion with the multidisciplinary team, nutritional upbuilding was initiated followed by exploratory laparotomy with segmental resection and anastomosis. On histopathology, diffuse large B-cell lymphoma involving the jejunum and colon was noted. Despite receiving palliative chemotherapy, he still succumbed to disease progression. This case highlights the importance of early recognition of jejunocolic fistulas among patients with intestinal lymphomas to facilitate early multidisciplinary intervention.<\/jats:p>","DOI":"10.1136\/bcr-2021-245495","type":"journal-article","created":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T11:05:15Z","timestamp":1646305515000},"page":"e245495","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Jejunocolic fistula presenting as chronic diarrhoea from advanced lymphoma"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0627-9623","authenticated-orcid":false,"given":"Rogelio N","family":"Velasco, Jr.","sequence":"first","affiliation":[{"name":"Division of Medical Oncology, Department of Medicine, University of the Philippines - Philippine General Hospital, Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark M","family":"Ando","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology, Department of Medicine, University of the Philippines - Philippine General Hospital, Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hashamiiya M","family":"Babaran","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, Philippine General Hospital, Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ma. Corazon C","family":"Manuntag","sequence":"additional","affiliation":[{"name":"Department of Surgery, Philippine General Hospital, Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6617-9363","authenticated-orcid":false,"given":"Dennis Lee","family":"Sacdalan","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology, Department of Medicine, University of the Philippines - Philippine General Hospital, Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,3,3]]},"reference":[{"key":"2025082622460274000_15.3.e245495.1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197201)29:1<252::AID-CNCR2820290138>3.0.CO;2-#"},{"key":"2025082622460274000_15.3.e245495.2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v17.i6.697"},{"key":"2025082622460274000_15.3.e245495.3","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2005-06-2508"},{"key":"2025082622460274000_15.3.e245495.4","first-page":"iv2","article-title":"The relevance of gastrointestinal fistulae in clinical practice: a review","volume":"49 Suppl 4","author":"Falconi","year":"2001","journal-title":"Gut"},{"key":"2025082622460274000_15.3.e245495.5","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1007\/s00261-013-9987-6","article-title":"Tumor-bowel fistula: what radiologists should know","volume":"38","author":"Tirumani","year":"2013","journal-title":"Abdom Imaging"},{"key":"2025082622460274000_15.3.e245495.6","first-page":"511","article-title":"[Jejunocolonic fistula disclosing colonic T-cell pleiomorphic lymphoma]","volume":"14","author":"Cessot","year":"1990","journal-title":"Gastroenterol Clin Biol"},{"key":"2025082622460274000_15.3.e245495.7","doi-asserted-by":"crossref","first-page":"387","DOI":"10.5009\/gnl.2011.5.3.387","article-title":"Jejunocolic fistula associated with an intestinal T cell lymphoma","volume":"5","author":"Chun","year":"2011","journal-title":"Gut Liver"},{"key":"2025082622460274000_15.3.e245495.8","first-page":"337","article-title":"Enterocolic fistula in Gi lymphoma: a case report","volume":"11","author":"Jangjoo","year":"2002","journal-title":"Iran Red Crescent Med J"},{"key":"2025082622460274000_15.3.e245495.9","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1097\/00004836-200202000-00023","article-title":"Jejunocolic fistula: an unreported complication of acquired immunodeficiency syndrome-associated lymphoma","volume":"34","author":"Kumar","year":"2002","journal-title":"J Clin Gastroenterol"},{"key":"2025082622460274000_15.3.e245495.10","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1007\/s10350-004-0759-9","article-title":"Lymphoma creating colojejunal fistula: report of a case and review of the literature","volume":"48","author":"McMahon","year":"2005","journal-title":"Dis Colon Rectum"},{"key":"2025082622460274000_15.3.e245495.11","first-page":"366","article-title":"Duodenal fistula: the most lethal surgical complication in a case series of radical gastrectomy","volume":"53","author":"MFKP","year":"2018","journal-title":"Int J Surg Lond Engl"},{"key":"2025082622460274000_15.3.e245495.12","doi-asserted-by":"crossref","first-page":"e191","DOI":"10.1308\/rcsann.2018.0130","article-title":"Diverticulitis of the transverse colon manifesting as colocutaneous fistula","author":"Bakopoulos","year":"2018","journal-title":"Ann R Coll Surg Engl"},{"key":"2025082622460274000_15.3.e245495.13","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-201899"},{"key":"2025082622460274000_15.3.e245495.14","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1080\/00015458.2015.11681145","article-title":"Malignant gastrocolic fistula: review of the literature and report of a case","volume":"115","author":"Huttenhuis","year":"2015","journal-title":"Acta Chir Belg"},{"key":"2025082622460274000_15.3.e245495.15","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/j.gie.2016.03.1478","article-title":"Successful endoscopic management of a malignant ileovesicular fistula","volume":"84","author":"Kachaamy","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"2025082622460274000_15.3.e245495.16","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1002\/jgf2.184","article-title":"Enterovaginal and colovesical fistulas as late complications of pelvic radiotherapy","volume":"19","author":"Iwamuro","year":"2018","journal-title":"J Gen Fam Med"},{"key":"2025082622460274000_15.3.e245495.17","unstructured":"Farooqi N , Tuma F . 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