Gastropancreatic Fistula: A Rare Complication of Peptic Ulcer Disease

作者：Samyak Dhruv, Dhineshreddy Gurala, Jobin Philipose, Vivek Gumaste · 发表于：ACG Case Reports Journal · 年份：2021 · DOI：10.14309/crj.0000000000000622 · 被引用次数：8 · 研究领域：Gastrointestinal disorders and treatments、Gastrointestinal Bleeding Diagnosis and Treatment、Esophageal and GI Pathology

Peptic ulcer disease (PUD) has a significant health burden. Penetration is a rare complication of PUD, where an ulcer erodes into another organ. To the best of our knowledge, we present the fourth case in the literature where a gastric ulcer has penetrated the pancreas. A 67-year-old man with a history of PUD presented to the emergency department for epigastric pain. Endoscopy revealed a large gastric ulcer at the incisura with magnetic resonance imaging demonstrating gastropancreatic fistula. Our case emphasizes on the importance of timely identification and treatment strategies for gastropancreatic fistula, the rarest complications of PUD.