A Rare Case of Gastrojejunocolic Fistula with Perforation in an Old Case of Gastrojejunostomy

INTRODUCTION Gastrojejunocolic fistula (GJF) is a late and very rare complication of gastroenterostomy performed for recurrent peptic ulcer disease. The occurrence of perforation in a GJF is even more a rare complication because long evolution time or latent period is required for its appearance. Patients with this condition usually present with diarrhea, weight loss, feculent vomiting, under-nutrition and features of peritonitis that require immediate surgical intervention CASE PRESENTATION We report a case of 65 year old male with perforation in a gastrojejunocolic fistula following gastrojejunostomy for peptic ulcer disease 20 years back. Patient presented with acute pain in abdomen, weight loss, diarrhea as soon as having meals and signs of peritonitis. CONCLUSION With surgery, this condition is entirely correctable. Pre-operative nutritional status should be evaluated in patients undergoing corrective surgery, and total parenteral nutrition plays a major role in the provision of bowel rest to allow recovery in malnourished patients.