Chronic gastro-abdominal wall fistula with secondary massive thoracoabdominal wall abscess and costal destruction after laparoscopic gastricolithotomy: A case report

doi:10.4240/wjgs.v17.i6.107033

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Jun 27, 2025 (publication date) through Jun 2, 2025

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Gastrointest Surg. Jun 27, 2025; 17(6): 107033
Published online Jun 27, 2025. doi: 10.4240/wjgs.v17.i6.107033

Chronic gastro-abdominal wall fistula with secondary massive thoracoabdominal wall abscess and costal destruction after laparoscopic gastricolithotomy: A case report

Yong-Zhen Kang, Jian-He Sun

Yong-Zhen Kang, Jian-He Sun, Department of Hepatobiliary Surgery, Tianjin Baodi Hospital, Tianjin Medical University Baodi Hospital, Tianjin 301800, China

Author contributions: Kang YZ proposed the study; Kang YZ and Sun JH collected and analyzed the clinical data, contributed to the design and interpretation of the study; and all authors have read and approved the final version to be published.

Informed consent statement: The patient and her family members provided written informed consent.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Jian-He Sun, FRCS, MD, Department of Hepatobiliary Surgery, Tianjin Baodi Hospital, Tianjin Medical University Baodi Hospital, No. 8 Guangchuan Road, Baodi District, Tianjin 301800, China. 18602249294@163.com

Received: March 14, 2025
Revised: April 8, 2025
Accepted: April 28, 2025
Published online: June 27, 2025
Processing time: 77 Days and 20.8 Hours

Core Tip

Core Tip: We report a 67-year-old man who underwent surgery several times for a rare and undetected complication of laparoscopic gastricolithotomy. He presented to multiple hospitals because of sustained left upper quadrant abdominal pain one month after laparoscopic gastricolithotomy and was subsequently diagnosed with a massive thoracoabdominal wall abscess seven months after surgery, and irreversible costal destruction one year after surgery. Both lesions were finally confirmed to be secondary damage due to a rare chronic gastro-abdominal wall fistula related to laparoscopic gastricolithotomy and the diameter of the gastric fistula reached 2 cm.