DCunha Aureen Ruby, Jehangir Susan
Paediatric Surgery, Christian Medical College and Hospital Vellore, Vellore, India.
BMJ Case Rep. 2017 Apr 22;2017:bcr-2016-217330. doi: 10.1136/bcr-2016-217330.
Gastrocolic fistulas in children are most commonly seen after placement of a percutaneous endoscopic gastrostomy. We present a 14-year-old girl who developed a gastrocolic fistula following accidental corrosive acid ingestion. On evaluation of her symptoms, a barium swallow identified the gastrocolic fistula. It healed spontaneously in 3 months. This was both unexpected and remarkable. To the best of our knowledge this is the first case of a gastrocolic fistula occurring following corrosive ingestion.
儿童胃结肠瘘最常见于经皮内镜下胃造口术后。我们报告一名14岁女孩,因意外摄入腐蚀性酸后发生胃结肠瘘。在评估她的症状时,吞钡检查发现了胃结肠瘘。它在3个月内自行愈合。这既出乎意料又引人注目。据我们所知,这是第一例因腐蚀性物质摄入后发生胃结肠瘘的病例。