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December 28, 1970

Gastrojejunocolic Fistula Secondary to Benign Ulcer

Author Affiliations

Fredericktown, Pa

JAMA. 1970;214(13):2335-2336. doi:10.1001/jama.1970.03180130067019

To the Editor.—  Only 37 cases of gastrocolic fistula arising from benign gastric ulcer have been described since the original recognition of this fistula as a clinical syndrome in 1755. In a review of the literature from 1920 to the present, Sterns and Bird1 found only 13 cases.The inclusion of the jejunum as part of the fistulization process, namely the gastrojejunocolic fistula, adds another serious complication to the patient's already disturbed metabolic state. Gastrojejunocolic fistula has been seen occasionally in extensive cases of malignancy, in ulcerative colitis, and after previous gastric surgery. To our knowledge, no report has been made to date of a gastrojejunocolic fistula complicating an unoperated benign gastric ulcer. The following is such a case.

Report of a Case.—  A 52-year-old woman presented with the chief complaint of dizziness and faintness. She had had no gastrointestinal symptoms with the exception of heartburn until two months before