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

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.