Neoplastic sigmoidoileal fistula associated with diverticular colopathy
Keywords:
diverticulosis, colon, digestive disordersAbstract
The authors present a case of a carcinoma of the sigmoid colon set on a diverticulosis, fistulized into the last portian of the small bowe.l and in the stage
of abdominal spreading ( wall infiltration, peritoneal and lymph-node carcinomatosis). It occurred as low leve! sm.:11 intestina! obstruction and it was necessary to
treat it by segmenta! resection of the small intestine and anterior resection of the recturn (Hartmann's operation). The postoperaive evolution was unfavo¡¡rable.
Anatomic study of the tumor suggests its possible orígin in a sigmoid diverticulum. The diagnostic and therapeutic prohlems originating in the co-existence of
a diverticulosis and a colonic cancer are studied.
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