Managing a Gastrocolocutaneous Fistula with Delayed Presentation after PEG Placement Without Surgery

Background: This case report describes the successful non-surgical management of a gastrocolocutaneous fistula that developed following percutaneous endoscopic gastrostomy (PEG) placement.Case Report: The patient presented several months after the procedure with abdominal pain and discharge from the PEG site.Imaging revealed a fistula between the stomach and colon, which was managed conservatively with PEG site care, bowel rest, and antibiotics.The patient's symptoms gradually improved over several weeks, and follow-up imaging showed resolution of the fistula.Conclusion: This case demonstrates that non-operative management can be a viable option for select patients with delayed gastrocolocutaneous fistulas after PEG placement.