Malignant coloduodenal fistula
Patient with diarrhoea and fecaloid vomiting.
CT Abdomen and pelvis
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Portal venous phase CT of the abdomen demonstrates irregular thickening of distal ascendent colon extending with hepatic flexure as well of the second part of duodenum with fistulous communication between both. Additional findings include: colonic diverticula and aortic calcification.