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Appendico-Jejunal Fistula Secondary to Appendiceal Calculus

Appendico-Jejunal Fistula Secondary to Appendiceal Calculus Abstract To the Editor.—In a recent issue of the Archives, an article on enteric fistulas of appendiceal origin was published. In this article the authors state that the existence of a calculus producing this entity could not be substantiated in any of the case reports that were reviewed. I have recently cared for a case which seems to demonstrate that this can occur. A 65-year-old man complained of colicky abdominal pain for three weeks, extending over the whole lower abdomen. Barium enema revealed a constricting lesion of the sigmoid colon. At laparotomy, in addition to a definite neoplastic lesion of the lower sigmoid, a matted mass of bowel was found adherent to the sigmoid mesentery. On dissection the mass consisted of a loop of mid jejunum adherent to the appendix. These structures were resected along with the sigmoid. The lesion in the sigmoid colon was reported as adenocarcinoma. The bowel References 1. Walker LG Jr, Rhame DW, Smith RB III: Enteric and cutaneous appendiceal fistulae . Arch Surg 99:585-588, 1969.Crossref 2. Kjellman T: Appendiceal fistulae and calculi: Review of the literature and a report of three cases . Acta Chir Scand 113:123-139, 1957. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Appendico-Jejunal Fistula Secondary to Appendiceal Calculus

Archives of Surgery , Volume 101 (1) – Jul 1, 1970

Appendico-Jejunal Fistula Secondary to Appendiceal Calculus

Abstract

Abstract To the Editor.—In a recent issue of the Archives, an article on enteric fistulas of appendiceal origin was published. In this article the authors state that the existence of a calculus producing this entity could not be substantiated in any of the case reports that were reviewed. I have recently cared for a case which seems to demonstrate that this can occur. A 65-year-old man complained of colicky abdominal pain for three weeks, extending over the whole lower abdomen. Barium...
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Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1970.01340250096025
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—In a recent issue of the Archives, an article on enteric fistulas of appendiceal origin was published. In this article the authors state that the existence of a calculus producing this entity could not be substantiated in any of the case reports that were reviewed. I have recently cared for a case which seems to demonstrate that this can occur. A 65-year-old man complained of colicky abdominal pain for three weeks, extending over the whole lower abdomen. Barium enema revealed a constricting lesion of the sigmoid colon. At laparotomy, in addition to a definite neoplastic lesion of the lower sigmoid, a matted mass of bowel was found adherent to the sigmoid mesentery. On dissection the mass consisted of a loop of mid jejunum adherent to the appendix. These structures were resected along with the sigmoid. The lesion in the sigmoid colon was reported as adenocarcinoma. The bowel References 1. Walker LG Jr, Rhame DW, Smith RB III: Enteric and cutaneous appendiceal fistulae . Arch Surg 99:585-588, 1969.Crossref 2. Kjellman T: Appendiceal fistulae and calculi: Review of the literature and a report of three cases . Acta Chir Scand 113:123-139, 1957.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1970

References