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From the question on page 232

The lesion was clearly seen on the ulcer base (fig 1), through which the endoscope could pass easily into the colon which contained muddy stool (fig 2), and the lesion was proved to be a fistulous opening of the gastric ulcer. The biopsy specimens of the gastric ulcer margin were compatible with benign …

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  • Patient consent: Patient consent has been received for publication of the case details and the figures in this paper.

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