Malignant sigmoid-duodenal fistula: case report and review of the literature
© Minutolo et al; licensee BioMed Central Ltd. 2011
Published: 24 August 2011
Colonic-duodenal fistulas are rare, and may be secondary to benign or malignant conditions. Malignant duodenocolonic fistulas may also develop in patients with right colon or hepatic flexure carcinoma or duodenal malignancy. The sigmoido-duodenal malignant fistula is exceptional and, to our knowledge, only two previous cases have been reported. The first case was treated in our Institution in 1981 and published by Russello  and the second was reported by Melissas in 2002  in the literature. We present the third case of malignant fistula between the duodenum and sigmoid colon in a 84-years-old male patient.
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