title: A case of gastrocolic fistula secondary to adenocarcinoma of the colon.
abstract: BACKGROUND
  Gastrocolic fistula secondary to colon carcinoma is a rare entity. The common cause of gastrocolic fistula is different between eastern and western countries. Gastrocolic fistula may present many manifestations.
  
  
  METHODS
  We present a case report of gastrocolic fistula in a 59-year-old male patient with colon adenocarcinoma, diagnosed on digestive endoscopy, CT scanning and barium enema. Radical en-bloc surgery was undertaken based on patient's symptom, the size and the nature of the tumor.
  
  
  CONCLUSIONS
  The typical symptoms of gastrocolic fistula include abdominal pain, vomiting, diarrhea, emaciation, anemia, hypoaluminemia, weight loss and ascites. There are many methods to diagnose gastrocolic fistula, but barium enema is the most accepted way nowadays.
  
  
  CONCLUSIONS
  It is rare for gastrocolic fistula case to be caused by colon adenocarcinoma, and has been rarely reported inside China. The best therapy of gastrocolic fistula remains radical en-bloc surgery.
authors: Department of Surgical oncology, Fujian Medical University (Fujian Provincial Hospital), Fu Zhou, China. Electronic address: zbhcrazy@qq.com.
authors: BiaoHuan
authors: B
authors: Zhou
authors: Department of Surgical oncology, Fujian Provincial Hospital, Fu Zhou, China. Electronic address: liwh68@sina.com.
authors: WeiHua
authors: W
authors: Li
keywords: Colon adenocarcinoma; En-bloc resection; Gastrocolic fistula