Abstract

Background: A 79-year-old female presented with fluid leakage from a previous percutaneous endoscopic gastrostomy tube site who was found to have gastrocutaneous fistula. Summary: Our patient presented at the age of 79 with complaints of a fluid leakage outside of her abdomen. She had a previous Percutaneous Endoscopic Gastrostomy (PEG) tube placement incision. The PEG tube was later self removed and the patient tolerated oral intake. She underwent an esophagogastroduodenoscopy and gastrocutaneous fistula closure with an Ovesco Over-The-Scope-Clip. While uncommon, gastrocutaneous fistulas should be considered as a possible differential diagnosis in patients with fluid leakage from prior gastrostomy tube placements. The literature on gastrocutaneous fistula is reviewed. Conclusion: Gastrocutaneous fistulas are an uncommon pathology but should be included in patients with presenting risk factors such as intrinsic intestinal disease, radiation enteritis, distal obstruction, abscess, peritonitis, or malnourishment. Gastrocutaneous fistulas are highly rare occurrences but should be considered in patients presenting with fluid leakage from prior gastrostomy tube sites.