YELİZ ÇAĞAN APPAK, ÖMER YILMAZ, Gökhan PEKİNDİL, SEMİN AYHAN, HASAN ERHUN KASIRGA

Duodenocolic fistula Duodenokolik fistül

Gastrointestinal fistüllerin çoğu inflamatuvar barsak hastalığı, malignite, peptik ülser ve pankreatit ile ilişkilidir, fakat akut veya iyatrojenik gastrointestinal fistüller cerrahi girişimler sonrasında da gelişebilir. Bu olgu sunumunda kusma, ishal ve malnütrisyon bulguları ile başvuran 7 yaşında erkek hastada duodenokolik fistül saptandı. Fistülün önceki apendektomi ile ilişkili olabileceği veya apendektomi öncesi veya stress nedeni ile operasyon sonrası gelişmiş bir duodenal ülsere bağlı olabileceği düşünüldü. Hastada duodenokolik fistül cerrahi olarak kaldırıldı ve uygun beslenme ile desteklendi. Bu yüzden, operasyon öyküsü olan, malnütrisyon ve malabsorpsiyon bulguları ile başvuran hastaların tanısında gastrointestinal fistüller düşünülmelidir.

Duodenokolik fistül

Most of the gastrointestinal fistulas appear in connection with inflammatory bowel disease, malignancy, peptic ulcer and pancreatitis, but acute or iatrogenic gastrointestinal fistulas can also develop in the aftermath of surgical interventions. In this case report, the examination of the 7-year-old male patient admitted with symptoms of vomiting, diarrhea and malnutrition showed that he had duodenocolic fistula. Fistula considered to be connected with previous appendectomy operation or may also be associated with duodenal ulcer which may develop before appendectomy or with stress after the operation. The patient was treated by an operation to clear off the duodenocolic fistula and by support of appropriate nutrition. Therefore, gastrointestinal fistulas should be considered as diagnosis for the patients who have a history of previous operation and admitted with symptoms of malnutrition and malabsorption.

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