Immaculate fistulas without original sin between the stomach and the jejunum

Abstract

A 28-year old man was referred to Eulji university hospital for suspected gastrojejunal fistulae detected by screening upper gastrointestinal endoscopy. He presented no symptoms. He had no previous history of abdominal trauma, peptic ulcer, gastric cancer or gastric surgery. Upper endoscopy revealed gastrojejunal fistulae without any pathological changes on the gastric antrum and body. Abdominal computerized tomography showed a fistulous tract between the posterior wall of the gastric body and the jejunum. An upper gastrointestinal series showed contrast medium flow into the proximal jejunum from the posterior wall of the gastric body, allowing the diagnosis of the gastrojejunal fistula between the proximal jejunum and the stomach. In summary, we report innocent spontaneous gastrojejunal fistulae formation without any predisposing factor. Copyright © Celsius Publishing House.