IMR Press / CEOG / Volume 44 / Issue 3 / DOI: 10.12891/ceog3416.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Spontaneously closed gastrocutaneous fistula becomes symptomatic after 30 years with pregnancy
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1 General Surgery Department, Hacettepe University, Ankara, Turkey
Clin. Exp. Obstet. Gynecol. 2017, 44(3), 475–476; https://doi.org/10.12891/ceog3416.2017
Published: 10 June 2017
Abstract
Percutaneous endoscopic gastrostomy (PEG) is the standard procedure of choice for the provision of enteral nutrition in children who require long-term nutritional support. Removal of gastric tubes has a risk of causing gastrocutaneous fistula and this complication is dealt within childhood. The authors report a 34-year old woman who had a PEG procedure at the age of four years due to caustic esophageal injury and recovered without incident. Thirty years later she becomes pregnant and as her pregnancy progresses, her former fistula opening becomes more obvious and at the 34th week of the pregnancy she presents to the hospital with fistula. After a successful delivery, the fistula was evaluated and repaired surgically.
Keywords
Gastrocutaneous fistula
PEG
Gastrostomy
Enteral nutrition
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