Pseudo-Gastroduodenal Fistula

Abstract

GASTRODUODENAL fistula as a complication of gastric ulcer is rare. Monroe (12), in 1927, in a summary of the literature on fistula as a complication of gastric ulcer, found ten cases and added one of his own. Of these only two, his own and that of Casellas (2), had been recognized by roentgenology. Low-Beer (8) refers to 12 cases, eight of which were on an ulcer basis, and adds one of his own. These 12 cases include six of those summarized by Monroe. Of the cases reviewed by Monroe and Low-Beer, five, those of Casellas, Monroe, Berg, Haudek, and Low-Beer, were recognized by roentgen examination. Melchart (10) reports two cases and points out that these, and some of those reported in the literature, although having a roentgen appearance of gastroduodenal fistula, are not true fistula, but are due to contraction of the lesser curvature drawing the pylorus upward and to the left. We have found reports of 11 cases, in addition to those mentioned by Monroe and Low-Beer, which have been recognized by roentgen e...