[Gastrojejunocolic fistula after transmesocolic gastrojejunostomy for stenotic duodenal ulcer].

The authors are presenting the case of a 53 year-old patient, suffering from type II diabetes mellitus and ankylosing spondylitis, admitted in our clinic in July 1997 for gastrojejunocolic fistula, 5 years after a transmesocolic gastrojejunostomy for obstructive chronic duodenal ulcer. The severe metabolic disorders and the radiologic aspects which led to the diagnosis, as well as the morphopathologic lesions found and the ways to approach the fistula, the stenotic duodenal ulcer and the reconstruction of the digestive continuity in a single surgical procedure are further discussed. The conclusions are shown at the end.

[Recto-vesical and recto-vesico-vaginal fistulae caused by radiotherapy for carcinoma of the uterine cervix. Surgical treatment].

The authors present a study based on 4 cases of fistulous communication between the terminal digestive tube and the genitourinary tract, which appeared after surgery and radiation therapy for carcinoma of the uterine cervix. The diagnosis criteria (symptoms, clinical and imagistic findings), the objectives of the surgical treatment (external digestive derivation, treatment of the fistula and reconstruction of the digestive tube), the steps of the operation and the early and late postoperative evolution are pointed out. The conclusions are shown at the end.

[Internal biliary fistula of lithiasic origin].

The authors present 17 cases of patients with internal biliary fistulae of lithiasic origin. Nine of these were of the cholecystoduodenal type, 2 of the cholecysto-gastric type, 2 had developed between the cholecyst and the colon, and 4 were of the bilio-biliary type, between the cholecyst and the choledochus. These cases represented 1.

[Synchronous multiple primary cancers of the colon].

The authors report three cases with double synchronous primary cancers of the large bowel, representing 1,57% of the total 224 cases with colon and rectal cancers they have operated. In all the cases it was possible to perform surgical removal of the tumours by right hemicolectomy and segmental sigmoidectomy in two of the patients and rectosigmoidectomy in the third one. The clinical and prognostic characteristics confirmed the opinion, that has been advanced in the specialized literature, that these tumours are relatively benign.