Unusual Case of Acquired Gastrocorporeo-duodenal Fistula with Long Luminal Tract Treated without Surgical Operation

Byung Jun Jeon, Seong Hun Kim, In Hee Kim, Sang Wook Kim, Seung Ok Lee, Dae Ghon Kim, Soo Teik Lee

Abstract


Gastroduodenal fistulas are rare conditions that they occur as either a congenital or acquired condition. The acquired forms usually are associated with peptic ulcer disease; they are mostly located between the gastric antrum and duodenal bulb. We reported the case of 44-year-old male presented with weight loss and melena without any evidence of peritoneal irritation. Endoscopy and CT showed an unusual location of a gastroduodenal fistula between the lesser curvature of the gastric lower body and the duodenal bulb associated with a very large gastric ulcer. The fistula completely closed after one month of medical treatment. Here, the serial endoscopic observations of the unusual case of acquired gastrocorporeo-duodenal fistula and review of literature are reported.

Keywords


Acquired; Gastrocorporeo-duodenal fistula; Endoscopy

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