Clinical Report: A Case of Long-Standing Abdominal Wall Nodule Due to SGCF

Overview

This report details a rare case of a spontaneous gastrocutaneous fistula (SGCF) resulting from a benign gastric ulcer in an 81-year-old man. The patient presented with persistent drainage from a long-standing abdominal nodule.

Background

Spontaneous gastrocutaneous fistulas are exceedingly rare, typically arising from iatrogenic causes or malignancies. The occurrence of SGCF due to benign gastric ulcers is particularly unusual.

Data Highlights

No numerical data or trial data was presented in the article.

Key Findings

• An 81-year-old man presented with a 30-year history of a stable abdominal wall nodule.
• The nodule ruptured, leading to persistent enteric-like drainage.
• Imaging and endoscopic investigations confirmed an SGCF originating from a benign gastric ulcer.
• Laparoscopic exploration revealed dense fibroinflammatory adhesions between the stomach and abdominal wall.
• Definitive management involved en bloc excision of the fistulous tract and subtotal gastrectomy.
• Histopathological findings supported a chronic localized fistulizing process.

Clinical Implications

Healthcare professionals should consider the possibility of SGCF in patients with long-standing abdominal wall nodules, especially when drainage occurs. Surgical intervention may be necessary for definitive management after excluding malignancy.

Conclusion

Benign gastric ulcers can lead to SGCF, and surgical resection is necessary for management.

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