PMC4282807_01
Endoscopic view of the fistulous communication between stomach and colon. Stomach filled with feculent matter
PAMJ-18-341-g001.jpg
PMC4282807_01_PAMJ-18-341-g001.jpg
F0001
The patient started to improve over the next couple of days in the wards and a endoscopy was scheduled which showed stomach filled with fecal matter and an opening suggestive of fistulous communication to colon (Figure 1).
Intraoperative picture of the fistulous track between stomach, jejunum, and transverse colon
PAMJ-18-341-g002.jpg
PMC4282807_01_PAMJ-18-341-g002.jpg
F0002
GJ stomal ulcer had given way and had extended to involve the colon (Figure 2) Peritoneal contamination in pelvis and paracolic gutters. Gastrojejunostomy was undone and transverse colon found to be involved.