@entity292 secondary to XXXX : a case report.

@entity1 @entity901 @entity353 @entity416 @entity292 @entity490 @entity694
INTRODUCTION: @entity292 is a rare complication of @entity694 . Despite radical resections, these @entity1 usually have a poor prognosis with a mean survival of 23 months and long-term survival is rarely reported. CASE PRESENTATION: A 48-year-old Latino-American @entity1 presented with watery diarrhea, diffuse @entity490 and @entity353 for 3 months. A computed tomography scan revealed a mass in the splenic flexure that had infiltrated his stomach and diaphragm. Panendoscopy and colonoscopy confirmed the presence of a fistula between the distal transverse colon and the stomach, which was secondary to a @entity694 . His colon, stomach and left diaphragm were resected en bloc. A histological examination revealed a moderately differentiated @entity694 that had infiltrated the full width of the gastric wall with 37 negative lymph nodes and clear surgical margins. Adjuvant chemotherapy with @entity416 and @entity901 was administered after surgery. Our @entity1 is alive and without any recurrence 5 years after surgery. CONCLUSIONS: En bloc resection with adjuvant chemotherapy offers the best treatment option for gastrocolic fistulas. This is one of the @entity1 with greater survival reported in the medical literature.
