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Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 52
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
13 Yrs. Old boy known case of spastic Quadriplegia cerebral palsy.
Problems : Seizure disorder, GERD,Functional constipationWhat
was unusual in this case was that the time of presentation of the
gastro-colic fistula long time post-PEG insertion ( asymptomatic
), the exact time of development of the fistula was difficult to
determine, with time his general condition became much worse
with anemia and hypoalbuminemia,the offensive discharge from
the gastrostomy tube became apparent which direct the attention
to possibility of gastrocolic fistula. Patient had several episodes
of diarrhea and vomiting while the original tube was still in position,
suggesting a leak of colonic contents into the stomach with an
overgrowth of bacteria in the small bowel causing diarrhea and
septic episodes.
Conclusion:
The majority of patients having a documented
gastrocolic fistula present with diarrhea or feculent vomiting that
started after replacement of the G-tube. These patients do not
exhibit signs of peritonitis or abdominal sepsis. Therefore, after
replacement of a G-tube patients should be observed for these
complaints. In case of suspicion, a fistulogram or barium enema
is recommended to rule out the presence of a fistula.Many
patients who have PEG may experience diarrhea. If sudden onset
of persistent diarrhea occurs in these patients, the possibility of
a gastrocolic fistula should be considered. In such cases, the
diagnosis can be confirmed by means of a tubogram.
Biography
Haifa Sindhi is a consultant pediatric Gastroenterologist in Maternity and Chil-
dren Hospital, Almosadia 2003 until present. She is also the Head of pharmacy
and drugs committees in MCH hospital and a member in Saudi pediatric &
adult Association Gastroenterology Society (SAGE , SASPGHAN).
haifa_hasan@hotmail.com13-Year-Old boy with known case of spastic Quadriplegia
cerebral palsy
Haifa Sindhi
Maternity and Children Hospital Almosadia, Saudi Arabia
Haifa Sindhi, Med Case Rep. 2018, Volume 4
DOI:10.21767/2471-8041-C1-003