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Summary
A rare gastrocolic fistula, caused by a benign gastric ulcer, was diagnosed endoscopically. This is the first reported case diagnosed via video-endoscopy and treated surgically.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Gastrocolic fistula is a rare complication of benign gastric ulcers.
- Endoscopic diagnosis is challenging and infrequently reported.
Observation:
- A case of gastrocolic fistula secondary to a benign gastric ulcer is presented.
- Diagnosis was achieved via video-endoscopy and confirmed with an upper radiological series using oral contrast.
Findings:
- This represents the first reported case of gastrocolic fistula diagnosed endoscopically.
- The patient underwent successful subtotal gastrectomy with primary closure of the colonic defect.
Implications:
- Highlights the utility of video-endoscopy in diagnosing rare gastrointestinal complications.
- Demonstrates the efficacy of surgical intervention for gastrocolic fistulas secondary to benign ulcers.