Coloduodenal Fistula: The Role of MDCT on Diagnosing a Rare Entity

Giordano Rafael Tronco Alves*, John Neoptolemos, Natalia Henz Concatto, Bruno Hochhegger, Klaus Loureiro Irion

Coloduodenal fistula is a very infrequent complication, which can arise from both benign and malignant  diseases. It consists in a pathological communication between the lumen of the colon and duodenum. The onset of signs and symptoms is generally sub-acute, and the majority of the patients will present with a non-specific abdominal pain, diarrhoea, nausea and vomiting [1]. Nevertheless, the clinical presentation may vary significantly - depending on the site of fistulisation - and some cases may never be diagnosed.

When not clinically suspected, cross-sectional imaging studies can be the only tool to suggest the diagnosis and provide information necessary for deciding among therapeutic options [2]. In this article, we report a case of coloduodenal fistula arising from a colonic malignancy, diagnosed by multi-detector computed tomography scan (MDCT). A brief discussion regarding the condition and its diagnostic challenges is presented.

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Published on: Mar 21, 2015 Pages: 4-5

Full Text PDF Full Text HTML DOI: 10.17352/2455-8702.000017
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