AI Article Synopsis

  • This case highlights a rare complication involving delayed leakage of stomach contents into the skin after a gastrostomy tube was closed during abdominoplasty, occurring two years post-surgery.
  • The patient had to undergo emergency surgery to address the issue, ultimately leading to a full recovery.
  • Proper assessment of the patient's surgical history and prior imaging was essential for diagnosis and treatment planning, suggesting that closing gastrostomy sites during related surgeries may prevent similar future complications.

Article Abstract

This case represents an unusual, and previously unreported, complication of delayed leakage of gastric contents into the subcutaneous tissues 2 years after division of a gastrostomy tube tract during abdominoplasty. Our patient required urgent exploration for contamination control and closure of the fistula and recovered fully. Persistent gastrocutaneous fistula is uncommon in adults and even less common is recannulization of a fistula track after initial closure. A thorough review of operative history and comparison to previous imaging were crucial for appropriate diagnosis and operative planning. Formal closure of gastrostomy tube sites during scar revision and abdominoplasty may help prevent the complication of delayed gastrostomy tube tract rupture into the subcutaneous tissues.

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Source
http://dx.doi.org/10.1093/milmed/usaa212DOI Listing

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