Colonogastric fistula, more commonly called "gastrocolic," is a rare complication of Crohn's colitis. The 17th incidence of this fistula is reported. Fecal halitosis is a prominent symptom. Barium enema is the most accurate diagnostic tool. Colonoscopy plays a role in delineating surgical therapy. The stomach resection is described. Because of its pathogenesis, the authors prefer to call this "colonogastric" fistula, rather than gastrocolic fistula.
A case of periodic neutropenia of twenty years’ duration is presented. ACTH was administered intravenously in an attempt to abort or prevent the neutropenic cycles. No effect in raising the total leukocyte or neutrophil count was noted, and the neutropenic cycles could not be prevented by the ACTH. A striking absence of fever, stomatitis, or other secondary manifestations occurred during the neutropenic periods treated with ACTH. The background for treating such conditions with hormones is discussed.
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