Gastrocolic Fistula as a Complication of Benign Gastric Ulcer

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Abstract
Three cases are presented which illustrate the wide spectrum of clinical presentations of gastrocolic fistula. These complications include pain, feculent vomiting, diarrhea, gastrointestinal hemorrhage and peritonitis. The gastric ulcer is easily detected by a Ba meal study although a Ba enema may be necessary to show the fistulous communication. The relationship of this condition to steroids and acetylsalicylic acid is stressed. Two other cases are included to illustrate the development of such a fistula and show the distinguishing features of a gastrocolic fistula due to carcinoma of the colon.