Late presentation of a gastrocolic fistula after percutaneous fluoroscopic gastrostomy.
Gastrocolic fistula (GCF) has previously been described with percutaneous endoscopic gastrostomy procedures. However the present case of GCF is to our knowledge the first reported in the literature. It developed as a complication of the fluoroscopic technique three months after percutaneous fluoroscopicically guided gastrostomy-tube insertion. GCF was symptomless and was discovered during button replacement in a 74-year-old head and neck cancer patient. In patients with complex upper abdominal anatomy, the use of US or CT should be recommended to avoid such problem.
Marcy
P Y
PY
Department of Radiology, Centre Antoine Lacassagne, Nice, France.
Magné
N
N
Lacroix
J
J
Bailet
C
C
D000368:Aged; D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004750:Enteral Nutrition; D005471:Fluoroscopy; D005747:Gastric Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005774:Gastrostomy; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D010610:Pharyngeal Neoplasms / Q000628:therapy*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011502:Protein-Energy Malnutrition / Q000628:therapy*; D011677:Punctures; D012086:Reoperation; D014057:Tomography, X-Ray Computed