Gastro colic fistula in a neonate - Case report of a rare complication of necrotizing enterocolitis

Gastrocolic Fistula is, in the majority of cases the pathological communication between stomach and transverse colon. It occurs mostly in adults, but they can be present in infants, as well, as a result of congenital abnormalities or iatrogenic procedures (i.e. migration of naso gastric tube that placed before). We report a case of 10 days old full term, male neonate, was on naso gastric tube feeds, had clinical features of necrotizing enterocolitis (NEC), diagnosed to have gastrocolic fistula on barium enema study and confirmed on CT abdomen. Intraoperatively, baby had multiple perforations with gastrocolic fistula. Histopathological examination was suggestive of NEC. We searched literature, we could find seven case reports. (C) 2015 The Authors. Published by Elsevier Inc. All rights reserved.