A Caae of Gastrocolie Fistula Secondary to Benign Gastric Ulcer.
- Author:
Yong Hwan CHOI
;
Young Oh KWEON
;
Sung Kook KIM
;
Young Hwan CHEIGH
;
Wan Sik YU
;
Sung Gon CHOI
;
Joon Mo JUNG
- Publication Type:Case Report
- Keywords:
Gastrocolic fistula;
Benign gastric ulcer
- MeSH:
Abscess;
Adult;
Blood Transfusion;
Carcinoid Tumor;
Colitis, Ulcerative;
Colon;
Colon, Transverse;
Colonoscopes;
Diverticulum;
Fistula*;
Gastrectomy;
Humans;
Lymphoma;
Male;
Stomach;
Stomach Ulcer*;
Syphilis;
Tuberculosis
- From:Korean Journal of Gastrointestinal Endoscopy
1996;16(4):615-619
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastrocolic fistula is a rare lesion which is caused most commonly by carcinoma of colon or stomach. The less common causes of gastrocolic fistula are follows: trauma, faulty gastrocolic anastomosis during gastrectomy, benign gastric ulcer, syphilis, carcinoid tumor, tuberculosis, intraperitoneal abscess, lymphoma, perforated diverticulum of colon, and ulcerative colitis. The locations of fistulae are mostly between greater curvature of stomach and distal half of the transverse colon. In the case of penetrating benign gastric ulcer and gastrcolic fistula, it is usually associated either with asipirin or with prolonged steroid administration. A 36-year-old male who had an unusual gastrocolic fistula secondary to non-surgically treated benign gastric ulcer is presented. The exitence of a gastrocolic fistula was dernonstrated by radiological examination of the colon and the stomach. In this patient, the colonoscope passde through the fistula and the stomach could be examined. Careful preparation was carried out preoperatively with intravenous fluids and blood transfusions. Resection of the distal stomch, fistulous tract, and segment of the transverse colon was then accamplished.
