Clin Endosc.  2021 May;54(3):443-444. 10.5946/ce.2020.140.

Blind Spot of Enteral Stenting for Malignant Duodenal Obstruction due to Colon Cancer: A Rare Case of Duodenocolonic Fistula

• Sasaki T
• Mie T
• Sasahira N

• KMID: 2516328
• DOI: http://doi.org/10.5946/ce.2020.140

Figure

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  Fig. 1. Non-contrast-enhanced abdominal computed tomography image showing a local recurrence at the duodenum, which caused a malignant gastric outlet obstruction. The arrow indicates the local recurrence of the colon cancer.

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  Fig. 2. (A) An endoscope is inserted in the duodenum, and the guidewire is advanced through the stenosis. (B) The contrast image shows a dilated intestinal tract. The arrow indicates the lumen of the transverse colon. (C) The contrast image of the stenosis shows another lumen. The first lumen is confirmed to be a duodenocolonic fistula, which is indicated by the arrow. (D) The guidewire is then advanced to another lumen, and the contrast image shows the duodenum. The lumen indicated by the arrow is the true duodenal lumen.

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  Fig. 3. An uncovered enteral stent at the duodenal obstruction. (A) Abdominal radiograph. (B) Endoscopic view.

Reference

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