[Choledochoduodenal fistula: an unusual complication of duodenal ulcer].
We report a case of choledochoduodenal fistula in a patient with a duodenal ulcer and poor compliance to treatment. The fistula tract was demonstrated on a plain abdominal X-ray (presence of air in the biliary tract), and was confirmed by a fistulography from the site of the ulcer (opacification of the bile duct). A Finsterer type 2/3 gastrectomy was performed in this patient, leading to the treatment of the ulcer and disappearance of the fistula following a gastrojejunal shunt of the duodenum. Clinical outcome was excellent.
Amar
A
A
Service de Chirugie OB, Hôpital P. Zobda-Quitman, Fort-de-France, Ile de la Martinique.
Ribeyre
D
D
Lombard
F
F
Yonneau
L
L
Egarnes
M
M
Valyi
L
L
Marry
J P
JP
Edouard
A
A
D002763:Cholecystectomy; D003137:Common Bile Duct Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004381:Duodenal Ulcer / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005743:Gastrectomy; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography
Fistule cholédocoduodénale: complication rare de i'ulcère duodénal.