Gastrocolic Fistula Due to Benign Disease

GASTROCOLIC fistula was first reported by Haller in 1755.¹ It is a rare lesion which is caused most commonly by carcinoma of the colon and stomach.² Among the less common causes of gastrocolic fistula are as follows: faulty gastrocolic anastomosis during gastrectomy,^3,4 benign gastric ulcer, carcinoid tumor, pancreatic tumor, sarcoma, ulcerative colitis, perforated diverticulum of the colon, intraperitoneal abscess, and syphilis.⁵ Benign gastric ulcers perforating into the colon are extremely rare, because most benign gastric ulcers occur on the lesser curvature of th. stomach. Verbrugge reviewed the literature and reported 25 cases of gastrocolic fistula due to benign gastric ulcer.⁶ In 1955, Gray found four additional cases and reported one of her own. One of these cases had been reported by Pein in 1948 in a 5-week-old infant who had a gastric ulcer on the greater curvature of the stomach.⁷ In 1966, Hoffman reported