[Enterocolic fistula due to foreign body perforation].
A 26-year-old man reported diarrhoea, abdominal pain and weight loss (16 kg in 3 weeks). Ultrasonography and computed tomography showed a 5 x 5 cm abnormal rosette-shaped mass with surrounding infiltration in the area of the left colic flexure. Laboratory tests indicated a florid inflammation. Coloscopy and double-contrast radiology of the colon revealed a fistula at the junction between sigmoid and descending colon. At laparotomy a large tumorous mass was found (18 x 15 x 10 cm), which was removed completely by partial resection of small intestine and colon. Histological examination revealed occlusion of an intestinal loop by a plastic foreign body (probably the cap of a household cleaner bottle). The patient would not provide any explanation of the circumstances leading to its ingestion.
Jüngling
G
G
6. Medizinische Klinik, Klinikum Nürnberg-Nord.
Wiessner
V
V
Gebhardt
C
C
Zeitler
E
E
Wünsch
P H
PH
D000328:Adult; D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003113:Colonoscopy; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small; D008297:Male; D014057:Tomography, X-Ray Computed
Enterokolische Fistel infolge Fremdkörperinkorporation.