title: Spontaneous duodenocutaneous fistula: a rare complication of duodenal ulcer.
abstract: Fistula formation between the duodenum and the skin of the anterior abdominal wall is a rare complication of duodenal ulcer disease, most often felt to occur following ulcer surgery. The development of a spontaneous duodenocutaneous fistula in association with duodenal ulcer has not been hitherto reported. A middle aged man with a history of peptic ulcer for more than 10 years, and a vagotomy and pyloroplasty 15 months earlier, presented with an asymptomatic duodenocutaneous fistula, presumably secondary to a perforated duodenal bulb ulcer. Successful healing of the fistula was accomplished by non-surgical therapy consisting of nasogastric suction, intravenous alimentation and parenteral cimetidine over a 4-week period.
authors.affiliation: University of Nevada School of Medicine, Reno 89520.
authors.forename: A N
authors.initials: AN
authors.lastname: Reddy
mesh_terms: D004378:Duodenal Diseases / Q000209:etiology*; D004381:Duodenal Ulcer / Q000150:complications*; D005402:Fistula / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012871:Skin Diseases / Q000209:etiology*