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Louis G. Ludington, M.D.; Robert R. Torrey, M.D.; Neal C. Hamel, M.D.
JAMA. 1959;170(7):799-800. doi:10.1001/jama.1959.63010070001010.
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This unusual case history of a gastrocutaneous fistula developing after external blunt trauma to the abdomen in a 27-year-old male is recorded for interest. We are unable to find a similar case in the medical literature. Gastrocutaneous fistulas are rare, and most recorded cases occur after operation or penetrating wounds of the abdomen and stomach. A few cases have been recorded as developing after perforated gastric ulcers.1

Report of a Case  A 27-year-old male was admitted to the Los Angeles County Tuberculosis Sanatorium on Nov. 13, 1958, with moderately advanced pulmonary tuberculosis. The admission examination revealed also a draining fistula in the umbilical area, the drainage being a light tan color without any particular odor. The patient stated that about one month prior to the admission he was lifting a large sack of heavy books which were being discarded. While lifting the heavy sack, he stumbled and fell, the


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