Gastroduodenal Fistula: A Rare Finding With an Atypical Presentation

Creator(s)

Farah Deshmukh, Bassett Medical Center and Columbia University
Kalpit Devani, East Tennessee State University
Peter Francisco, Columbia University
Nancy Merrell, Department of Gastroenterology, Bassett Medical Center and Columbia University College of Physicians and Surgeons, Cooperstown, NY 13326, USA.

Document Type

Article

Publication Date

6-1-2020

Description

Gastroduodenal fistula (GDF) or double pylorus is a rare, often asymptomatic condition with a prevalence of approximately 0.02-0.08%. The reported cases have been mainly in Asian countries and more prevalent in males than females. Although the etiology is unclear, and nonsteroidal anti-inflammatory drug use have been associated with the formation of GDF. We present the case of a 65-year-old female with alcoholic cirrhosis and recurrent vomiting who was found to have an antral ulcer. The case includes the serial endoscopic examinations over the period of 7 years and shows the antral ulcer which fistulized into the duodenal bulb creating double pylorus.

Citation Information

Deshmukh, Farah; Devani, Kalpit; Francisco, Peter; and Merrell, Nancy, "Gastroduodenal Fistula: A Rare Finding With an Atypical Presentation" (2020). ETSU Faculty Works. 212.
https://dc.etsu.edu/etsu-works-2/212