RT Journal A1 Ludington LG, Torrey RR, Hamel NC T1 GAstroumbilical fistula developing after external blunt trauma to abdomen JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1959 FD June 13 VO 170 IS 7 SP 799 OP 800 DO 10.1001/jama.1959.63010070001010 UL http://dx.doi.org/10.1001/jama.1959.63010070001010 AB 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.1Report of a CaseĀ  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