title: [Duodenal ulcer and duodenocholedochal fistula].
abstract: A new case of choledocoduodenal fistula secondary to duodenal ulcer is reported, which manifested as an ulcer complicated by haemorrhage, duodenal stenosis and cholangitis. We recommend endoendoscopy as the main diagnostic tool. Surgical treatment should consist of avoidance of the fistulous tract, cholecystectomy, cholangiography, truncal vagotomy and gastroduodenal drainage by pyloroplasty or gastroduodenostomy.
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Hospital Nacional Valdecilla, Santander, Universidad de Cantabria.
authors.forename: C
authors.initials: C
authors.lastname: Manuel Palazuelos
authors.forename: F
authors.initials: F
authors.lastname: Casado Martín
authors.forename: A
authors.initials: A
authors.lastname: Asensio
authors.forename: F
authors.initials: F
authors.lastname: Herranz de la Fuente
authors.forename: A
authors.initials: A
authors.lastname: Naranjo Gómez
mesh_terms: D000368:Aged; D001658:Biliary Fistula / Q000209:etiology*; D003137:Common Bile Duct Diseases / Q000209:etiology*; D004378:Duodenal Diseases / Q000209:etiology*; D004381:Duodenal Ulcer / Q000150:complications*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*
vernacular_title: Ulcus duodenal y fístula duodenocoledociana.