scholarly journals Subcutaneous Perforation of Recurrent Gastric Fistula After Abdominoplasty with Scar Revision

2020 ◽  
Vol 185 (11-12) ◽  
pp. e2180-e2182
Author(s):  
Erik S DeSoucy ◽  
Vincente S Nelson
Keyword(s):  
Gastrostomy Tube ◽  
Gastric Fistula ◽  
Contamination Control ◽  
Scar Revision ◽  
Gastric Contents ◽  
Operative Planning ◽  
Subcutaneous Tissues ◽  
Fistula Track ◽  
Gastrocutaneous Fistula

Abstract This case represents an unusual, and previously unreported, complication of delayed leakage of gastric contents into the subcutaneous tissues 2 years after division of a gastrostomy tube tract during abdominoplasty. Our patient required urgent exploration for contamination control and closure of the fistula and recovered fully. Persistent gastrocutaneous fistula is uncommon in adults and even less common is recannulization of a fistula track after initial closure. A thorough review of operative history and comparison to previous imaging were crucial for appropriate diagnosis and operative planning. Formal closure of gastrostomy tube sites during scar revision and abdominoplasty may help prevent the complication of delayed gastrostomy tube tract rupture into the subcutaneous tissues.

scholarly journals Dual endoscopic technique using through- and over-the-scope clips to close a colo-gastrocutaneous fistula due to a percutaneous gastrostomy tube

Endoscopy ◽  
2017 ◽  
Vol 49 (S 01) ◽  
pp. E64-E65 ◽  
Author(s):  
Alvaro Martínez-Alcalá Garcia ◽  
Joel Augustus ◽  
Krupali Thakar ◽  
Mohamad Shoreibah ◽  
Klaus Mönkemüller
Keyword(s):  
Gastrostomy Tube ◽  
Endoscopic Technique ◽  
Percutaneous Gastrostomy ◽  
Gastrocutaneous Fistula ◽  
Percutaneous Gastrostomy Tube

Fibrin Glue as Adjuvant Treatment for Gastrocutaneous Fistula after Gastrostomy Tube Removal

Endoscopy ◽  
2004 ◽  
Vol 36 (4) ◽  
pp. 337-341 ◽  
Author(s):  
A. González-Ojeda ◽  
J. Avalos-González ◽  
M. I. Muciño-Hernández ◽  
A. López-Ortega ◽  
C. Fuentes-Orozco ◽  
...  
Keyword(s):  
Fibrin Glue ◽  
Adjuvant Treatment ◽  
Gastrostomy Tube ◽  
Tube Removal ◽  
Gastrocutaneous Fistula

scholarly journals Gastric necrosis and perforation as a complication of splenectomy. Case report and related references

2000 ◽  
Vol 37 (4) ◽  
pp. 227-230 ◽  
Author(s):  
Carlos Augusto Real MARTINEZ ◽  
Jaques WAISBERG ◽  
Rogério Tadeu PALMA ◽  
Sansom Henrique BROMBERG ◽  
Mário Augusto Padula CASTRO ◽  
...  
Keyword(s):  
Gastric Wall ◽  
Rare Event ◽  
Anatomical Variations ◽  
Unusual Complication ◽  
Gastric Fistula ◽  
Arterial Blood ◽  
Mortality Index ◽  
Anterior Gastric Wall ◽  
Gastrocutaneous Fistula ◽  
Short Gastric Vessels

Necrosis of the stomach after isolated splenectomy with the formation of gastrocutaneous fistula is a rare event that occurs in less than 1% of splenectomies. It is more frequent when the removal of the spleen is done because of hematological diseases. Its mortality index can reach 60% and its pathogenesis is controversial, as it may be attributed both to direct trauma of the gastric wall and to ischemic phenomena. Although the stomach may exhibit exuberant arterial blood irrigation, anatomical variations can cause a predisposition towards the appearance of potentially ischemic areas, especially after ligation of the short gastric vessels around the major curvature of the stomach. Once this is diagnosed in the immediate postoperative period, it becomes imperative to reoperate. The surgical procedure will depend on the conditions of the peritoneal cavity and patient's clinic status. The objective of this study was to report on the case of a patient submitted to splenectomy because of closed abdominal traumatism, who then presented peritonitis and percutaneous gastric fistula in the post-operative period. During the second operation, perforations were identified in anterior gastric wall where there had been signs of vascular stress. The lesion was sutured after revival of its borders, and the patient had good evolution. Prompt diagnosis and immediate treatment of this unusual complication are needed to reduce its high mortality rate.

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