Laparoscopic resection of a spontaneous gastrocutaneous fistula in an adult - A case report.

INTRODUCTION

Persistent gastrocutaneous fistula (GCF) remains a rare but known complication after gastrostomy tube removal. In children, the gold standard of treatment is surgical through an open fistula takedown. Adults, on the other hand, have a much smaller incidence rate, creating a more difficult dilemma in management.

PRESENTATION OF CASE

We present an unusual case of a 42-year-old male who developed spontaneous opening of his gastrocutaneous fistula decades after its original closure in infancy. Patient initially tried both conservative management and endoscopic suturing but developed recurrence less than a year later. He was subsequently referred to General Surgery and underwent laparoscopic fistula takedown without any complications.

DISCUSSION

Gastrocutaneous fistulas in adulthood may present with various etiologies including distant histories of tube removals.

CONCLUSION

Surgical management through a minimally invasive technique provides both definitive and efficient care.