DOI: http://dx.doi.org/10.18203/2349-2902.isj20204166

Tubular enteric duplication presenting as jejuno-colic fistula in a 38 years old adult

Chandhana Vishal N., Sameer Ahmed, B. Srinivas Pai

Abstract


Colo-enteric fistula is a rare entity, malignancy being the commonest cause. Both adenocarcinoma and rarely lymphoma have been known to cause it. Benign jejuno-colic fistulas are mostly secondary to tuberculosis or inflammatory bowel disease. Here we present a case of a young adult male, who presented with altered bowel habits. Colonoscopy and oesophago-gastro-duodenoscopy (OGD) revealed a fistulous tract between the proximal jejunum to the splenic flexure of colon. Surgery revealed a small fistulous connection between the above-mentioned parts of the bowel about 1cm long. Histopathology demonstrated it to have all the layers of the intestinal anatomy, hence indicating a possibility of congenital aetiology, probably enteric duplication of communicating tubular variety.


Keywords


Colo-enteric fistula, Jejuno-colic fistula, Enteric duplication, Benign intestinal fistula, Diarrhoea

Full Text:

PDF

References


Pickhardt PJ, Bhalla S, Balfe DM. Acquired gastrointestinal fistulas: classification, etiologies, and imaging evaluation. Radiology. 2002;224(1):9-23.

Thomas HA. Radiologic investigation and treatment of gastrointestinal fistulas. Surg Clin North Am. 1996;76:1081-94.

Stawicki SP, Braslow BM. Gastrointestinal Fistulae. OPUS 12 Scientist. 2008;2:13-16.

Hoffman CH, Dietrich RB, Pais MJ. The split notochord syndrome with dorsal enteric fistula. AJNR Am J Neuroradiol. 1993;14(3):622-7.

Woods RJ, Lavery IC, Fazio VW, Jagelman DG, Weakley FL. Internal fistulas in diverticular disease. Dis Colon Rectum. 1988;31:591-6.

Vagholkar KR. Small intestinal fistula. Bombay Hospital Journal. 2001;43(4):590.

Stawicki SP, Braslow BM. Gastrointestinal Fistulae. OPUS 12 Scientist. 2008;2:13-16.

Rubesin SE, Scotiniotis I, Birnbaum BA, Ginsberg GG. Radiologic and endoscopic diagnosis of Crohn’s disease. Surg Clin Am North. 2001;81:39-70.

Bruder E, Ersch J, Hebisch G, Ehrbar T, Klimkait T, Stallmach T. Fetal varicella syndrome: disruption of neural development and persistent inflammation of non-neural tissues. Virchows Arch. 2000;437(4):440-4.

Gupta AK, Guglani B: Imaging of congenital anomalies of the gastrointestinal tract. Indian J Pediatr. 2005;72:403-14.

Macpherson RI. Gastrointestinal tract duplications: clinical, pathologic, etiologic, and radiologic considerations. Radiographics. 1993;13(5):1063-80.

Odze, John R. Goldblum. Surgical Pathology of the GI Tract, Liver, Biliary Tract and Pancreas: Robert D. Elsevier Health Sciences. 2009;163-4.

O’Neil J, Rowe M. Duplications of the gastrointestinal tract. In: Essentials of Pediatric Surgery. St. Louis, Mo. Mosby Yearbook. 1995;520-25.

Pennehouat G, Houry S, Huguier M. Sigmoid duplication in an adult. J Chir. 1986;123:169-70.

Favara BE, Franciosi RA, Akers DR. Enteric duplications: thirty-seven cases-a vascular theory of pathogenesis. Am J Dis Child. 1971;122:501-06.

Otter MI, Marks CG, Cook MG. An unusual presentation of intestinal duplication with a literature review. Dig Dis Sci. 1996;41:627-29.