Department Of Digestive Disease-II, The First Affiliated Hospital of Jiamusi University, Heilongjiang. P.R. China
Received Date: October 19, 2015; Accepted Date: October 27, 2015; Published Date: November 08, 2015
Citation: Chowdhury ATMM, Feng DJ, Min L, Cuiying (2015) Deep Gastric Ulcer with Formation of Fistula along the Stomach Wall. J Hepatol Gastroint Dis 1:i102. doi:10.4172/2475-3181.1000i102
Copyright: © 2015 Chowdhury ATMM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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A deep Gastric ulcer with formation of fistula buried in the posterior stomach wall, at the lower half of the body of the stomach along the leaser curvature in a 65 years old male patient was evaluated while undergoing “Esophagogastroduodenoscopy” for clinical features resembled to simple mild gastritis not responding to Proton Pump Inhibitor therapy. The channel was about 3 cm long, buried in to the posterior wall of the stomach close to the leaser curvature with superior wide and sliding opening of about 1.8 cm and a lower comparatively constricted opening of 0.8 cm, approximately 4.5 cm above the pyloric sphinter. The patient was overweight, hypertensive, non-diabetic, non-smoker with irregular alcohol consumption and no regular history of NSAID. His C13 Urea breath test was found negative and histopathological examination of biopsy specimens confirmed diagnosis of Carcinoma (Figures A-E)..