Korean J Helicobacter Up Gastrointest Res.  2012 Sep;12(3):195-197. 10.7704/kjhugr.2012.12.3.195.

A Case of Gastroduodenal Fistula Caused by Gastric Ulcer

Affiliations
  • 1Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea. mhs1357@cnuh.ac.kr

Abstract

Gastroduodenal fistula or double pylorus is a very rare condition. It is a fistulous communication between gastric antrum and duodenal bulb. It can be either congenital or acquired. In most cases it is thought to be a complication of gastric ulcer. We recently experienced a case of gastroduodenal fistula in 70 year-old man presenting as epigastric pain. He was diagnosed with non ST elevation myocardial infarction previously, and was taking aspirin. Gastroduodenal communication was revealed by endoscopy. We report a case of gastroduodenal fistula that developed in man who was taking aspirin, with review of the literature.

Keyword

Gastroduodenal fistula; Double pylorus; Stomach ulcer

MeSH Terms

Aspirin
Endoscopy
Fistula
Myocardial Infarction
Pyloric Antrum
Pylorus
Stomach Ulcer
Aspirin
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