Coloduodenal fistula: a rare complication of right-sided diverticulitis.
Coloduodenal fistula is an uncommon disease entity. It can be caused by either a malignant or benign disease. We report the fifth case of coloduodenal fistula secondary to colonic diverticulosis. Our patient, a 60-year-old man, presented with severe diarrhoea and recurrent severe hypokalaemia. A partial colectomy with en bloc excision of the fistula was performed, and the duodenal defect was closed primarily. A literature review was carried out on the aetiology, presentation, diagnosis and management of coloduodenal fistula.
Ng
C K D
CK
Department of Surgery, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong SAR. dennis_ckng@yahoo.com.hk
Cheung
Y S H
YS
Wong
C H J
CH
Li
K W M
KW
D003082:Colectomy / Q000379:methods; D003967:Diarrhea / Q000175:diagnosis; D004238:Diverticulitis / Q000150:complications* / Q000601:surgery*; D004240:Diverticulum / Q000473:pathology; D005402:Fistula / Q000150:complications* / Q000601:surgery*; D006801:Humans; D007008:Hypokalemia / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome