Abstract
A case of a 44 year old man with a duodeno-colic fistula secondary to an adenocarcinoma of the second part of the duodenum is described. An asymptomatic leiomyoma of the second part of the duodenum was also present. The patient had been treated successfully for a right Wilms' cancer in childhood with surgery and radiotherapy. There are no previous reports of a duodenal carcinoma arising following a Wilms' tumour and cases of gastrointestinal adenocarcinoma arising as second malignancies following Wilms' tumours are reviewed. The aetiology of duodeno-colic fistulas is reviewed. Duodenal carcinoma is a unusual cause of duodeno-colic fistulas and this case may be unique in that respect.
Full text
PDF



Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Blatt J., Olshan A., Gula M. J., Dickman P. S., Zaranek B. Second malignancies in very-long-term survivors of childhood cancer. Am J Med. 1992 Jul;93(1):57–60. doi: 10.1016/0002-9343(92)90680-a. [DOI] [PubMed] [Google Scholar]
- Breslow N. E., Norkool P. A., Olshan A., Evans A., D'Angio G. J. Second malignant neoplasms in survivors of Wilms' tumor: a report from the National Wilms' Tumor Study. J Natl Cancer Inst. 1988 Jun 15;80(8):592–595. doi: 10.1093/jnci/80.8.592. [DOI] [PubMed] [Google Scholar]
- Calmès J. M., Rutz H. P., Suardet L., Givel J. C. Le cancer colo-rectal héréditaire: à propos d'une observation familiale. Helv Chir Acta. 1992 Aug;59(2):349–354. [PubMed] [Google Scholar]
- Devilee P., van den Broek M., Mannens M., Slater R., Cornelisse C. J., Westerveld A., Khan P. M. Differences in patterns of allelic loss between two common types of adult cancer, breast and colon carcinoma, and Wilms' tumor of childhood. Int J Cancer. 1991 Apr 1;47(6):817–821. doi: 10.1002/ijc.2910470604. [DOI] [PubMed] [Google Scholar]
- EDMUNDS P. K., HAVARD C. Duodeno-colic fistula due to gall-stones. Br J Surg. 1961 Nov;49:253–255. doi: 10.1002/bjs.18004921505. [DOI] [PubMed] [Google Scholar]
- Fell J., Snooks S. Small bowel adenocarcinoma complicating Crohn's disease. J R Soc Med. 1987 Jan;80(1):51–52. doi: 10.1177/014107688708000120. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fisher J. H., Scoggin C. H., Rogler C. E. Sequences which flank an 11p deletion observed in an hepatocellular carcinoma map to 11p13. Hum Genet. 1987 Jan;75(1):66–69. doi: 10.1007/BF00273842. [DOI] [PubMed] [Google Scholar]
- HAMMAR B. BENIGN DUODENOCOLIC FISTULA. Br J Surg. 1965 Feb;52:153–155. doi: 10.1002/bjs.1800520214. [DOI] [PubMed] [Google Scholar]
- Haber D. A., Housman D. E. Role of the WT1 gene in Wilms' tumour. Cancer Surv. 1992;12:105–117. [PubMed] [Google Scholar]
- Haggitt R. C., Reid B. J. Hereditary gastrointestinal polyposis syndromes. Am J Surg Pathol. 1986 Dec;10(12):871–887. doi: 10.1097/00000478-198612000-00006. [DOI] [PubMed] [Google Scholar]
- Hakami M., Dadgostar D., Feshareki R. Invasive carcinoma of the colon and duodenum with duodeno-colic fistula: report of a case. Am J Proctol. 1976 Aug;27(4):35–36. [PubMed] [Google Scholar]
- Holmes G. K., Dunn G. I., Cockel R., Brookes V. S. Adenocarcinoma of the upper small bowel complicating coeliac disease. Gut. 1980 Nov;21(11):1010–1015. doi: 10.1136/gut.21.11.1010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ionescu A., Moisa V., Sciuca S., Hamburda M. Ulcer duodenal (supravaterian) perforat in colonul transvers. Stare gravă de caşexie. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1976 Jul-Aug;25(4):285–287. [PubMed] [Google Scholar]
- Kovalic J. J., Thomas P. R., Beckwith J. B., Feusner J. H., Norkool P. A. Hepatocellular carcinoma as second malignant neoplasms in successfully treated Wilms' tumor patients. A National Wilms' Tumor Study report. Cancer. 1991 Jan 15;67(2):342–344. doi: 10.1002/1097-0142(19910115)67:2<342::aid-cncr2820670204>3.0.co;2-y. [DOI] [PubMed] [Google Scholar]
- Olsen J. H., Garwicz S., Hertz H., Jonmundsson G., Langmark F., Lanning M., Lie S. O., Moe P. J., Møller T., Sankila R. Second malignant neoplasms after cancer in childhood or adolescence. Nordic Society of Paediatric Haematology and Oncology Association of the Nordic Cancer Registries. BMJ. 1993 Oct 23;307(6911):1030–1036. doi: 10.1136/bmj.307.6911.1030. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Opitz J. M. Adenocarcinoma of the colon following Wilms tumor. J Pediatr. 1980 Apr;96(4):774–775. doi: 10.1016/s0022-3476(80)80769-4. [DOI] [PubMed] [Google Scholar]
- Pichney L. S., Fantry G. T., Graham S. M. Gastrocolic and duodenocolic fistulas in Crohn's disease. J Clin Gastroenterol. 1992 Oct;15(3):205–211. doi: 10.1097/00004836-199210000-00006. [DOI] [PubMed] [Google Scholar]
- Reissman P., Steinhagen R. M., Enright P. F. Duodenocolic fistula: an unusual presentation of esophageal squamous cell carcinoma. Mt Sinai J Med. 1992 Jan;59(1):75–78. [PubMed] [Google Scholar]
- Sabio H., Teja K., Elkon D., Shaw A. Adenocarcinoma of the colon following the treatment of Wilms tumor. J Pediatr. 1979 Sep;95(3):424–426. doi: 10.1016/s0022-3476(79)80525-9. [DOI] [PubMed] [Google Scholar]
- Shatney C. H., Sosin H. Spontaneous perforation of a pancreatic pseudocyst into the colon and duodenum. Am J Surg. 1973 Sep;126(3):433–438. doi: 10.1016/s0002-9610(73)80140-0. [DOI] [PubMed] [Google Scholar]
- Swerdlow A. J., Douglas A. J., Hudson G. V., Hudson B. V., Bennett M. H., MacLennan K. A. Risk of second primary cancers after Hodgkin's disease by type of treatment: analysis of 2846 patients in the British National Lymphoma Investigation. BMJ. 1992 May 2;304(6835):1137–1143. doi: 10.1136/bmj.304.6835.1137. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Torrance B., Jones C. Three cases of spontaneous duodeno-colic fistula. Gut. 1972 Aug;13(8):627–630. doi: 10.1136/gut.13.8.627. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vieta J. O., Blanco R., Valentini G. R. Malignant duodenocolic fistula: report of two cases, each with one or more other synchronous gastointestinal cancers. Dis Colon Rectum. 1976 Sep;19(6):542–552. doi: 10.1007/BF02590951. [DOI] [PubMed] [Google Scholar]


