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- Title
Benign gastro-colic fistula in a woman presenting with weight loss and intermittent vomiting: a case report.
- Authors
Barrett, Kate; Hii, Michael W; Cade, Richard J
- Abstract
<bold>Introduction: </bold>Benign gastro-colic fistula is a rare occurrence in modern surgery due to the progress in medical management of gastric ulcer disease. Here we report the first case of benign gastro-colic fistula occurring whilst on proton-pump inhibitor therapy. This is a case study of benign gastro-colic fistula and review of the available literature in regards to etiology, diagnosis, management and prognosis.<bold>Case Presentation: </bold>An 84-year-old woman of Caucasian background presented with 12 months of worsening abdominal pain, nausea, vomiting, diarrhea and weight loss on a background of known gastric ulcer disease.<bold>Conclusion: </bold>The leading cause of gastro-colic fistulae has changed from benign to malignant due to improved medical management of gastric ulcer disease. The rarity and non-specific symptoms of gastro-colic fistula make the diagnosis difficult and it is best made by barium enema; however, computed tomography has not been formally evaluated. Surgical management with en bloc resection of the fistula tract is the preferred treatment. Benign gastro-colic fistulae are becoming exceedingly rare in the context of modern medical management of gastric ulcer disease. Surgical management is the gold standard for both benign and malignant disease.
- Subjects
HUMAN abnormalities; ABDOMINAL pain; INTESTINAL diseases; ABDOMINAL diseases
- Publication
Journal of Medical Case Reports, 2011, Vol 5, Issue 1, p313
- ISSN
1752-1947
- Publication type
journal article
- DOI
10.1186/1752-1947-5-313