[Duodeno-ileal fistula development due to retroperitoneal lymph node metastases of sigmoid carcinoma].
We report on a 75-year-old patient suffering from persistent diarrhea with consecutive weight loss of 50 kg over a nine month period. Three years ago the patient had been operated on a sigmoid cancer. Ultrasonography and CT-scan revealed retroperitoneal masses due to lymph node metastases. Enteroclysis demonstrated a fistula between the duodenum and the terminal ileum. Whereas duodenocolic fistulae due to malignancies are well known to the best of our knowledge a fistula between retroperitoneal parts of the duodenum and the intraperitoneal intestine have not descripted so far.
Klinik für Röntgendiagnostik und Nuklearmedizin, Katholisches Krankenhaus Marienhospital, Universitätsklinik der Ruhr-Universität Bochum.
F
F
Donnerstag
J
J
Kirchner
U
U
Laufer
R
R
Kickuth
C
C
Doberauer
D
D
Liermann
D000368:Aged; D003287:Contrast Media; D003937:Diagnosis, Differential; D003974:Diatrizoate Meglumine; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging; D008297:Male; D012187:Retroperitoneal Space; D012811:Sigmoid Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D003974:Diatrizoate Meglumine