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Case Reports
. 2021 Jul 13;14(7):e242055.
doi: 10.1136/bcr-2021-242055.

Not so Goody's powder

Raja Samir Khan  1 , Sardar Momin Shah-Khan  2 , Justin Kupec  2
Affiliations
Case Reports

Not so Goody's powder

Raja Samir Khan et al. BMJ Case Rep. .

Abstract

Over-the-counter analgesic medications are widely used amongst American adults and are also available in powder forms. Their adverse effects have been well documented in literature. Gastrocolic fistulas as a complication of peptic ulcer disease from analgesic powder usage have been previously unreported. Here, we report a patient with upper gastrointestinal bleeding and acute anaemia secondary to peptic ulcer complicated by gastrocolic fistula in a patient using analgesic powder.

Keywords: drugs: gastrointestinal system; endoscopy; radiology; ulcer.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
CT imaging concerning for gastric ulcer with colonic communication as denoted by arrow on axial (A) and coronal (B) views.
Figure 2
Figure 2
Large ulcer noted in the antrum along the greater curvature.
Figure 3
Figure 3
Normal appearing mucosa identified as colonic tissue within the ulcer as denoted by arrow.
Figure 4
Figure 4
Gastrocolic fistula identified within the ulcer as denoted by arrow (A) followed by colonic intubation and traversal (B).
See this image and copyright information in PMC

References

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