1986 Volume 28 Issue 3 Pages 576-581_1
A case of gastrocolic fistula caused by benign gastric ulcer in a 40-year-old male patient is reported. He was admitted to our hospital because of epigastric pain and anorexia presenting for approximately 2 months. An upper gastrointestinal series taken on admission demonstrated a giant gastric angular ulcer, about 4.5 cm in size. He was treated with cimetidine and maalox, and pirenzepine, thereafter responding well. On the eighty-sixth hospital day, frequent diarrhea appeared but no other symptoms were accompanied. Endoscopy performed on the one hundred forty-fifth hospital day disclosed findings suggestive of a gastric fistula. A gastrocolic fistula was confirmed by endoscopic transgastric fistelography. A subtotal gastrectomy and a simple closure of colonic fistula were performed. A gastrocolic fistula related to benign gastric ulcer is very rare in Japan and this is the first reported in Japanese literature according to our survey. In addition, this is a very valuable case endoscopically observed the developing process of gastrocolic fistula.
