Gastrocolic Fistula Secondary to Nonsteroidal Anti-Inflammatory Drugs Abuse in a Cirrhotic Patient

Konstantinos Mimidis1, Vassilios Papadopoulos1, Panagiotis Katsinelos1, Savvas Deftereos2, Dimitrios Filippou1, Georgios Kartalis1

1) First Department of Internal Medicine. 2) Department of Radiology, Democritus University of Thrace, Greece

Abstract

Gastrocolic fistula is rarely described in the literature. It has been associated with a variety of diseases and recently with benign gastric ulcers related to the use of nonsteroidal anti-inflammatory drugs (NSAIDs’). The present case represents the first report of gastrocolic fistula due to NSAIDs in a cirrhotic patient. This is in keeping with the established knowledge that cirrhotic patients constitute a high-risk group of patients when treated with NSAIDs’. Review of the literature shows that this condition warrants a complete diagnostic work-up to exclude more ominous underlined diseases.

Keywords

Gastrocolic fistula - nonsteroidal anti-inflammatory drugs - cirrhosis - hepatic encephalopathy