{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T08:07:27Z","timestamp":1765354047579},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Surg Onc"],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Colo-duodenal fistula is a rare complication of malignant and inflammatory bowel disease. Cases with malignant colo-duodenal fistulae can present with symptoms from the primary, from the fistula or from metastatic disease. The fistula often results in diarrhoea and vomiting with dramatic weight loss. Upper abdominal pain is usually present as is general malaise both from the presence of the disease and from the metabolic sequelae it causes. The diarrhoea relates to colonic bacterial contamination of the upper intestines rather than to a pure mechanical effect. Vomiting may be faeculant or truly faecal and eructation foul smelling but in the case reports this 'classic' symptomatology was often absent despite a fistula being present and patent enough to allow barium through it. Occasionally patients will present with a gastro-intestinal bleed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>We present an unusual case of colorectal carcinoma, where a 65 year old male patient presented with diarrhoea and vomiting secondary to a malignant colo-duodenal fistula near the hepatic flexure. Adenocarcinoma was confirmed on histology from a biopsy obtained during the patient's oesophageogastroduodenoscopy, and the fistula was demonstrated in his barium enema. Staging computed tomography showed a locally advanced carcinoma of the proximal transverse colon, with a fistula to the duodenum and regional lymphadenopathy. The patient was also found to have subcutaneous metastasis. Following discussions at the multidisciplinary meeting, this patient was referred for palliation, and died within 4 months after discharge from hospital.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>We present the case, discuss the management and review the literature. Colo-duodenal fistulae from colonic primaries are rare but early diagnosis may allow curative surgery. This case emphasises the importance of accurate staging and repeated clinical examination.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1477-7819-4-86","type":"journal-article","created":{"date-parts":[[2006,12,6]],"date-time":"2006-12-06T07:15:40Z","timestamp":1165389340000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Malignant colo-duodenal fistula; case report and review of the literature"],"prefix":"10.1186","volume":"4","author":[{"given":"Ruth","family":"Soulsby","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edmund","family":"Leung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2006,12,5]]},"reference":[{"key":"241_CR1","first-page":"813","volume-title":"Companion of Surgical Studies","author":"NJ Mortensen","year":"1999","unstructured":"Mortensen NJ, Nicholls RJ, Northover JMA, Williams NS: The colon, rectum and anus. Companion of Surgical Studies. Edited by: Burnand KG, Young AE. 1999, London: Churchill Livingstone, 813-876. Second","edition":"Second"},{"key":"241_CR2","first-page":"624","volume":"7","author":"DR Haldane","year":"1862","unstructured":"Haldane DR: Case of cancer of the caecum, accompanied by with caecoduodenal and caecocolic fistulae. Edinburgh Med J. 1862, 7: 624-629.","journal-title":"Edinburgh Med J"},{"key":"241_CR3","first-page":"476","volume":"21","author":"M Calmenson","year":"1947","unstructured":"Calmenson M, Black BM: Surgical management of carcinoma of the right portion of the colon. Surgery. 1947, 21: 476-481.","journal-title":"Surgery"},{"key":"241_CR4","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1016\/S0016-5085(19)36395-4","volume":"19","author":"LM Hershenson","year":"1951","unstructured":"Hershenson LM, Kirsner JB: Duodeno-colic fistula. Gastroenterology. 1951, 19: 864-873.","journal-title":"Gastroenterology"},{"key":"241_CR5","doi-asserted-by":"publisher","first-page":"658","DOI":"10.1016\/0002-9610(77)90147-7","volume":"133","author":"JP Welch","year":"1977","unstructured":"Welch JP, Warshaw AL: Malignant duodenocolic fistulas. Am J Surg. 1977, 133: 658-661. 10.1016\/0002-9610(77)90147-7.","journal-title":"Am J Surg"},{"key":"241_CR6","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1097\/00004836-199301000-00007","volume":"16","author":"M Iuchtman","year":"1993","unstructured":"Iuchtman M, Zer M, Plavnick Y, Rabinson S: Malignant duodeno-colic fistula: the role of extended surgery. J Clin Gastroenterol. 1993, 16: 22-25. 10.1097\/00004836-199301000-00007.","journal-title":"J Clin Gastroenterol"},{"key":"241_CR7","first-page":"35","volume":"27","author":"M Hakarmi","year":"1976","unstructured":"Hakarmi M, Dadgostar D, Feshareki R: Invasive carcinoma of the colon and duodenum with duodeno-colic fistula: report of a case. Am J Proctol. 1976, 27: 35-36.","journal-title":"Am J Proctol"},{"key":"241_CR8","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1001\/archsurg.1957.01280090031006","volume":"74","author":"EC Raffensperger","year":"1957","unstructured":"Raffensperger EC, Sylvester LE, Ferguson LK: Duodeno-colic fistula due to carcinoma of the hepatic flexure; report of a case with a discussion of the surgical problems encountered. Ama Arch Surg. 1957, 74: 333-337.","journal-title":"Ama Arch Surg"},{"key":"241_CR9","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1007\/BF02590951","volume":"19","author":"JO Vieta","year":"1976","unstructured":"Vieta JO, Blanco R, Valentini GR: Malignant duodeno-colic fistula: report of two cases, each with one or more synchronous gastrointestinal cancers. Dis Col Rectum. 1976, 19: 542-552.","journal-title":"Dis Col Rectum"},{"key":"241_CR10","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1002\/bjs.18004820807","volume":"48","author":"DG Calvert","year":"1960","unstructured":"Calvert DG, Medhurst GA: Fistula formation between the duodenum and colon. A report of three cases and a review of the condition. BJS. 1960, 48: 136-139.","journal-title":"BJS"},{"key":"241_CR11","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1259\/0007-1285-29-343-381","volume":"29","author":"GA Medhurst","year":"1956","unstructured":"Medhurst GA: Duodeno-colic fistula. Br J Radiol. 1956, 29: 381-385.","journal-title":"Br J Radiol"},{"key":"241_CR12","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1007\/BF02586716","volume":"21","author":"MA Ergin","year":"1978","unstructured":"Ergin MA, Alfonso A, Auda SP, Waxman M: Primary carcinoma of the duodenum producing a malignant duodeno-colic fistula. Dis Col Rectum. 1978, 21: 408-412.","journal-title":"Dis Col Rectum"},{"key":"241_CR13","first-page":"75","volume":"59","author":"P Reissman","year":"1992","unstructured":"Reissman P, Steinhagen RM, Enright PF: Duodeno-colic fistula: an unusual presentation of esophageal squamous cell carcinoma. Mt Sinai J Med. 1992, 59: 75-78.","journal-title":"Mt Sinai J Med"},{"key":"241_CR14","first-page":"934","volume":"33","author":"A Guzzetti","year":"1981","unstructured":"Guzzetti A: A case of duodenocolic fistula caused by duodenal ulcer. Chir Ital. 1981, 33: 934-937.","journal-title":"Chir Ital"},{"key":"241_CR15","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1007\/BF02587188","volume":"20","author":"TR Smith","year":"1977","unstructured":"Smith TR, Gouldin RR: Radiographic and clinical sequelae of the duodenocolic anatomic relationship: two cases of Crohn's disease with fistulization to the duodenum. Dis Col Rectum. 1977, 20: 257-262.","journal-title":"Dis Col Rectum"},{"key":"241_CR16","doi-asserted-by":"publisher","first-page":"1040","DOI":"10.1007\/BF01072854","volume":"22","author":"BI Korelitz","year":"1977","unstructured":"Korelitz BI: Colonic-duodenal fistula in Crohn's disease. Am J Dig Dis. 1977, 22: 1040-1048. 10.1007\/BF01072854.","journal-title":"Am J Dig Dis"},{"key":"241_CR17","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1007\/BF02554140","volume":"28","author":"RE Glass","year":"1985","unstructured":"Glass RE: Internal fistulas in Crohn's disease. Dis Col Rectum. 1985, 28: 557-561.","journal-title":"Dis Col Rectum"},{"key":"241_CR18","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/00004836-199210000-00006","volume":"15","author":"LS Pichney","year":"1992","unstructured":"Pichney LS, Fantry GT, Graham SM: Gastro-colic and duodeno-colic fistulas in Crohn's disease. J Clin Gastroenterol. 1992, 15: 205-211. 10.1097\/00004836-199210000-00006.","journal-title":"J Clin Gastroenterol"},{"key":"241_CR19","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1007\/BF02054984","volume":"40","author":"G Poggioli","year":"1977","unstructured":"Poggioli G: Duodenal involvement of Crohn's disease: three different clinicopathologic patterns. Dis Col Rectum. 1977, 40: 179-183. 10.1007\/BF02054984.","journal-title":"Dis Col Rectum"},{"key":"241_CR20","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1016\/0002-9610(54)90561-9","volume":"87","author":"WE Neville","year":"1953","unstructured":"Neville WE: Duodeno-colic fistula due to acute cholecystitis. Am J Surg. 1953, 87: 300-302. 10.1016\/0002-9610(54)90561-9.","journal-title":"Am J Surg"},{"key":"241_CR21","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1002\/bjs.18004921505","volume":"49","author":"PK Edmunds","year":"1961","unstructured":"Edmunds PK, Harvard C: Duodeno-colic fistula due to gallstones. BJS. 1961, 49: 253-255.","journal-title":"BJS"},{"key":"241_CR22","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.1001\/archsurg.1984.01390220075017","volume":"119","author":"JC Pangan","year":"1984","unstructured":"Pangan JC, Estrade R, Rosales R: Cholecystoduodenocolic fistula with recurrent gallstone ileus. Arch Surg. 1984, 119: 1201-1203.","journal-title":"Arch Surg"},{"key":"241_CR23","first-page":"353","volume":"57","author":"FG Cosio","year":"1972","unstructured":"Cosio FG, Onstad GR: Pancreatic pseudocyst communicating with both the duodenum and colon. Am J Gastroenterol. 1972, 57: 353-358.","journal-title":"Am J Gastroenterol"},{"key":"241_CR24","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1016\/S0002-9610(73)80140-0","volume":"126","author":"CH Shatney","year":"1973","unstructured":"Shatney CH, Sosin H: Spontaneous perforation of a pancreatic pseudocyst into the colon and duodenum. Am J Surg. 1973, 126: 433-438. 10.1016\/S0002-9610(73)80140-0.","journal-title":"Am J Surg"},{"key":"241_CR25","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1067\/mge.2002.124555","volume":"55","author":"A Urakami","year":"2002","unstructured":"Urakami A, Tsunoda T, Hayashi J, Oka Y, Mizuno M: Spontaneous fistulization of a pancreatic pseudocyst into the colon and duodenum. Gastrointest Endosc. 2002, 55: 949-951. 10.1067\/mge.2002.124555.","journal-title":"Gastrointest Endosc"},{"key":"241_CR26","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1055\/s-2001-16220","volume":"33","author":"KA Pathak","year":"2001","unstructured":"Pathak KA, DeSouza LJ: Duodenocolic fistula: an unusual sequela of stent migration. Endoscopy. 2001, 33: 731-10.1055\/s-2001-16220.","journal-title":"Endoscopy"},{"key":"241_CR27","first-page":"173","volume":"14","author":"F Sanderson","year":"1863","unstructured":"Sanderson F: Duodenocolic fistula. Trans Path Soc Lond. 1863, 14: 173-175.","journal-title":"Trans Path Soc Lond"},{"key":"241_CR28","doi-asserted-by":"publisher","first-page":"627","DOI":"10.1136\/gut.13.8.627","volume":"13","author":"B Torrance","year":"1972","unstructured":"Torrance B, Jones C: Three cases of spontaneous duodeno-colic fistula. Gut. 1972, 13: 627-630.","journal-title":"Gut"},{"key":"241_CR29","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1001\/archsurg.1980.01380010073017","volume":"115","author":"ML Steer","year":"1980","unstructured":"Steer ML, Glotzer DJ: Colonic exclusion bypass principle. Its use in the palliative treatment of malignant duodeno-colic and gastro-colic fistulas. Arch Surg. 1980, 115: 7-9.","journal-title":"Arch Surg"},{"key":"241_CR30","first-page":"87","volume":"45","author":"ES Xenos","year":"1999","unstructured":"Xenos ES, Halverson JD: Duodenocolic fistula: case report and review of the literature. J Postgrad Med. 1999, 45: 87-89.","journal-title":"J Postgrad Med"},{"key":"241_CR31","doi-asserted-by":"publisher","first-page":"932","DOI":"10.1002\/bjs.1800591203","volume":"59","author":"H Ellis","year":"1972","unstructured":"Ellis H, Morgan MN, Wastell C: 'Curative' surgery in carcinoma of the colon involving duodenum. A report of six cases. BJS. 1972, 59: 932-935.","journal-title":"BJS"},{"key":"241_CR32","first-page":"91","volume":"3","author":"RM Janes","year":"1959","unstructured":"Janes RM, Mills JR: Malignant duodenocolic fistula \u2013 report of a case and treated successfully by mass resection. Cancer J Surg. 1959, 3: 91-92.","journal-title":"Cancer J Surg"},{"key":"241_CR33","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1002\/jso.2930210109","volume":"21","author":"AE Chang","year":"1982","unstructured":"Chang AE, Rhoads JE: Malignant duodenocolic fistulas: a case report and review of the literature. J Surg Oncol. 1982, 21: 33-36.","journal-title":"J Surg Oncol"},{"key":"241_CR34","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1001\/archsurg.1944.01230010205004","volume":"48","author":"RR Linton","year":"1944","unstructured":"Linton RR: Two stage operation for carcinoma of the transverse colon producing duodenocolic fistula. Arch Surg. 1944, 48: 197-207.","journal-title":"Arch Surg"},{"key":"241_CR35","doi-asserted-by":"publisher","first-page":"906","DOI":"10.1007\/BF02482784","volume":"29","author":"F Yoshimi","year":"1999","unstructured":"Yoshimi F, Asato Y, Kuroki Y, Shioyama Y, Hori M, Itabashi M, Amemiya R, Koizumi S: Pancreatoduodenectomy for locally advanced or recurrent colon cancer: report of two cases. Surg Today. 1999, 29: 906-910. 10.1007\/BF02482784.","journal-title":"Surg Today"},{"key":"241_CR36","doi-asserted-by":"publisher","first-page":"920","DOI":"10.1007\/BF00311373","volume":"23","author":"Y Izumi","year":"1993","unstructured":"Izumi Y, Ueki T, Naritomi G, Akashi Y, Miyoshi A, Fukuda T: Malignant duodenocolic fistula: report of a case and considerations for operative management. Surg Today. 1993, 23: 920-925. 10.1007\/BF00311373.","journal-title":"Surg Today"},{"key":"241_CR37","first-page":"729","volume":"102","author":"K Hirsch","year":"1975","unstructured":"Hirsch K: Duodenocolic fistulas due to carcinoma of the transverse colon. VA Med Month. 1975, 102: 729-731.","journal-title":"VA Med Month"},{"key":"241_CR38","doi-asserted-by":"publisher","first-page":"616","DOI":"10.1002\/bjs.18004720606","volume":"47","author":"HW Gallagher","year":"1960","unstructured":"Gallagher HW: Extended right hemicolectomy. The treatment of advanced carcinoma of hepatic flexure and malignant duodenocolic fistula. BJS. 1960, 47: 616-621.","journal-title":"BJS"}],"container-title":["World Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1477-7819-4-86.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T23:35:38Z","timestamp":1630452938000},"score":1,"resource":{"primary":{"URL":"https:\/\/wjso.biomedcentral.com\/articles\/10.1186\/1477-7819-4-86"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,12]]},"references-count":38,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2006,12]]}},"alternative-id":["241"],"URL":"https:\/\/doi.org\/10.1186\/1477-7819-4-86","relation":{},"ISSN":["1477-7819"],"issn-type":[{"value":"1477-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,12]]},"assertion":[{"value":"10 February 2006","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 December 2006","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 December 2006","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"86"}}