Abstract
Duodenocolic fistula is an unusual condition, so far.
The first description of a benign duodenocolic fistula was done by Sanderson in 1863. There are 45 foreign literatures and only 3 Japanese up to date.
We experiences a case with malabsorption syndrome, who was a 64-years-old woman, entered to The 2nd Tokyo National Hospital with C. C. of anorexia, ascites and weightloss.
She had had appendectomy 10 years ago. Laboratory findings: haemoglobin 8.4 g/dl, serum protein 5.3 g/dl, iron 60 r/dl and total cholesterol 114 mg/dl.
Radiographic findings: the chest x-ray showed no abnormal findings. Upper G. I. series showed barium meal flowed away from ascending and transverse colon directly.
Laparotomy revealed duodenocolic fistula and microscopic examination of regional lymph nodes disclosed tuberculous origin. Post-operatively she has been doing well and gained weight 12 kg at present.
