Abstract
Background: Coloduodenal fistulas are a rare occurrence seen in 0.1% to 0.14% of colon cancer patients. Malignant coloduodenal fistulas are associated with poor prognosis given presence of locally advanced, and often times metastatic disease at the time of diagnosis. Patients can present with abdominal pain, vomiting and occasionally, bleeding. Intractable symptoms, obstruction and bleeding are indications for operative intervention. Surgical management can vary depending on the extent of duodenal involvement; from sleeve or segmental resection of the duodenum to pancreaticoduodenectomy. We describe a patient that underwent a right hemicolectomy and pancreaticoduodenectomy for a bleeding malignant coloduodenal fistula.
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