Abstract

<h3>To the Editor.—</h3> Gastrocolic fistula as a complication of benign ulcer disease is a rare occurrence with 15 recorded cases.<sup>1-15</sup>In every one of these in which a barium enema was performed, the lesion was demonstrated. In some cases, an x-ray film series of the upper gastrointestinal ( GI) tract failed to show the fistulous tract which was seen on the enema examination. The present case reconfirms this finding and reemphasizes the value of the barium enema in patients suspected of having a gastrocolic fistula. <h3>Report of a Case.—</h3> A 64-year-old man was admitted with a five-week history of crampy pain on the left side of the abdomen not relieved by antacids. He had anorexia, nausea, vomiting and a 20-lb weight loss. He complained of frequent belching with a bitter aftertaste and emesis of foulsmelling material once a day. For the week prior to admission, he experienced three to five

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