A CASE OF MUCINOUS COLON CANCER ACCOMPANIED WITH A DUODENOCOLIC FISTULA DETECTED BY THE APPEARANCE OF LEG EDEMA

DOI 1 Citations 19 References
  • WATANABE Masashi
    Department of Internal Medicine Mizonokuchi Hospital, Teikyo University School of Medicine.
  • KAKISAKA Hitoshi
    Department of Internal Medicine Mizonokuchi Hospital, Teikyo University School of Medicine.
  • SASAMOTO Rumiko
    Department of Internal Medicine Mizonokuchi Hospital, Teikyo University School of Medicine.
  • WATANABE Kunitsugu
    Department of Internal Medicine Mizonokuchi Hospital, Teikyo University School of Medicine.
  • KOBAYASHI Takeshi
    Department of Internal Medicine Mizonokuchi Hospital, Teikyo University School of Medicine.
  • MIZUGUCHI Kunio
    Department of Pathology, Mizonokuchi Hospital, Teikyo University School of Medicine.
  • YAMAKAWA Tatsuo
    Department of Surgery, Mizonokuchi Hospital, Teikyo University School of Medicine.

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  • 下腿浮腫を契機に発見された十二指腸瘻合併大腸粘液癌の1例

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Abstract

A 60 year-old woman was admitted with severe bilateral leg edema. She had no obvious abdominal discomfort and had a good appetite. On further workup, a diagnosis of mucinous colon cancer with a giant fistula to the duodenum secondary to the tumor invasion was made and a right hemicolectomy associated with pancreaticoduodenectomy was performed. Although patients with advanced colon cancer usually present with abdominal symptoms, the chief complaints of this particular case was only leg edema. This was probably due to the malnutrition secondary to direct excretion of the undigested food into the colon through the fistula.

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