Gastro-colic fistula – a rare iatrogenic complication of Nissen fundoplication

We present a case of an iatrogenic gastro-colic fistula following a Nissen fundoplication which was complicated by extensive adhesions. While gastro-colic fistulae are not an identified complication of Nissen fundoplication, it is, however, a known rare and late complication primarily associated with surgical interventions involving the stomach. The mainstay of treatment remains nutritional and electrolyte support followed by surgical resection.