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ALEJANDRA PEREZ-TAMAYO, MD; DANIEL P. CONGREVE, MD; JUANITO S. BARTOLOME, MD; ROBERT L. SCHMITZ, MD
Chicago

Arch Surg. 1983;118(9):1105.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—In reference to the article "Gastrocolic Fistula as a Complication of Benign Gastric Ulcer" (ARCHIVES 1979;114:1426-1428), we wish to report a case we treated of a gastrocolic fistula with free perforation secondary to a benign nonsurgically treated gastric ulcer. We know of only one case of free perforation of this type of fistula cited in the English literature.¹

A 53-year-old man had a five-day history of constipation and colicky abdominal pain and a 5.4-kg weight loss. On admission his abdomen was rigid, the nasogastric aspirate was feculent, and a roentgenogram showed free intraperitoneal air. The patient was resuscitated and taken to the operating room. Exploratory surgery revealed free fecal material in the peritoneal cavity and a 4-cm perforation of the transverse colon along with a 5-cm perforation in the posterior portion of the greater curvature of the stomach. An en bloc resection of the stomach, gastrocolic . . . [Full Text PDF of this Article]

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