Spontaneous gastrocutaneous fistula presenting as a long-standing abdominal wall nodule: a case report - Takeaways - MDSpire

Spontaneous gastrocutaneous fistula presenting as a long-standing abdominal wall nodule: a case report

  • By

  • Qiu-Shi Huang

  • Ran Huang

  • Gang Xiao

  • Jian Shen

  • Shuo-Yang Huang

  • Shan He

  • Jun Bu

  • Xian-Zhe Yu

  • June 4, 2026

  • 0 min

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  • 1

    Spontaneous gastrocutaneous fistula (SGCF) is a rare condition, typically arising from benign gastric ulcers rather than common acquired causes.

  • 2

    An 81-year-old man presented with a long-standing abdominal nodule that ruptured, leading to persistent enteric-like drainage.

  • 3

    Imaging confirmed an SGCF originating from a benign gastric ulcer, with dense adhesions observed during laparoscopic exploration.

  • 4

    Management involved en bloc excision of the fistulous tract and laparoscopically assisted subtotal gastrectomy, which was successful.

  • 5

    The case highlights that benign gastric ulcers can lead to chronic fistulous tracts, requiring surgical intervention after malignancy exclusion.

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