A Case of Gastroduodenal Fistula Caused by Gastric Ulcer

Yoon, Beom Yong; Jeong, Hyun Yong; Seong, Jae Kyu; Park, Dae Hwa; Tak, Dae Hyun; Kim, Beom Hee; Kim, Min Jung; Moon, Hee Seok

doi:2012.12.3.195

Korean J Helicobacter Up Gastrointest Res > Volume 12(3); 2012 > Article

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2012;12(3):195-197.
DOI: https://doi.org/10.7704/kjhugr.2012.12.3.195 Published online September 10, 2012.

A Case of Gastroduodenal Fistula Caused by Gastric Ulcer

Beom Yong Yoon, Hyun Yong Jeong, Jae Kyu Seong, Dae Hwa Park, Dae Hyun Tak, Beom Hee Kim, Min Jung Kim, Hee Seok Moon

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

위궤양으로 인한 위십이지장 누공 1예

윤범용, 정현용, 성재규, 박대화, 탁대현, 김범희, 김민정, 문희석

충남대학교 의학전문대학원 내과학교실

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.

Key Words: Gastroduodenal fistula; Double pylorus; Stomach ulcer