Journal of Yeungnam Medical Science

영남대 의대 학술지 편집위원회 (Yeungnam University College of Medicine, Yeungnam University Institute Medical Science)
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위장관 출혈의 증상으로 진단된 대장암에 의한 위대장루

An Unusual Cause of Gastrointestinal Hemorrhage: Gastrocolic Fistula Caused by Colon Cancer Invasion

  • 조정현 (관동대학교 의과대학 명지병원 내과학교실) ;
  • 김인태 (관동대학교 의과대학 명지병원 내과학교실) ;
  • 최진이 (관동대학교 의과대학 명지병원 내과학교실) ;
  • 천송욱 (관동대학교 의과대학 명지병원 내과학교실) ;
  • 강버들 (관동대학교 의과대학 명지병원 내과학교실) ;
  • 배상균 (관동대학교 의과대학 명지병원 내과학교실) ;
  • 김희만 (관동대학교 의과대학 명지병원 내과학교실) ;
  • 송지선 (관동대학교 의과대학 명지병원 병리학교실)
  • Cho, Jeong Hyeon (Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine) ;
  • Kim, In Tae (Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine) ;
  • Choi, Jin Yi (Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine) ;
  • Chun, Song Wook (Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine) ;
  • Kang, Beo Deul (Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine) ;
  • Bae, Sang Kyun (Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine) ;
  • Kim, Hee Man (Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine) ;
  • Song, Ji Sun (Department of Pathology, Myongji Hospital, Kwandong University College of Medicine)
  • 투고 : 2013.01.16
  • 심사 : 2013.03.04
  • 발행 : 2013.06.30
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초록

Gastrocolic fistula is a fistulous communication between the stomach and the colon. It is a passage between the gastric epithelium and the colonic epithelium. This uncommon complication is caused by benign and malignant diseases of the stomach or the colon. Its clinical manifestations include weight loss, diarrhea and fecal vomiting; occasionally, anemia, poor oral intake, fatigue and dizziness; and very rarely, gastrointestinal bleeding. In this paper, an unusual case of gastrocolic fistula accompanied by hematochezia, which was revealed to have been caused by colon cancer invasion, is described.

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