Gastric duplication-colonic fistula with colonic ulceration and bleeding.
An 11-month-old girl had massive rectal bleeding. A midabdominal mass was palpated. Ultrasound scan showed a large cystic mass with diffusely echogenic contents; Tc-99M radionuclide scan confirmed a duplication. Exploratory surgery and pathology examination showed a gastric duplication with formation of a fistula into the transverse colon with a colonic ulcer and hemorrhage. This combination of findings is presented as a rare cause of lower gastrointestinal hemorrhage in infancy.
Mahnovski
V
V
Division of Anatomic Pathology, Childrens Hospital Los Angeles, CA 90027, USA.
Mahour
G H
GH
Rowland
J M
JM
D003108:Colonic Diseases / Q000209:etiology*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007223:Infant; D007412:Intestinal Fistula / Q000209:etiology*; D013270:Stomach / Q000002:abnormalities*