In this case we present a patient with chronic abdominal pain of a year of evolution, three months before being admitted to hospital the patient presented melaena and anaemia. Within the surgery antecedents it appears a caesarean 2 years before and a cholecystectomy a year before. In the endoscopy study a textiloma was observed coming up from the posterosior side of the antrum which, after its endoscopic removal, showed a gastro-duodenal fistula with a non-patent pylorus.