[Choledocho-duodenal fistula due to perforating duodenal ulcer disease. Report of 3 cases].
The authors report three (3) cases of choledoco-duodenal fistula due to perforating duodenal ulcer disease. All of them were male, aged from 35 to 55 years. The ulcer symptomatology summarised the clinical feature. They presented respectively a prestenosis, a stenosis and a chronic ulcer The fistula diagnosis was estasblished at the oesogastro-duodenal radiologic exploration showing an opacification of the common bile duct. The surgical treatment concerned bnly to the ulcer. A gastrectomy of exclusion with digestive continuity re-establishment according to FINSTERER in the pre-stenosis, vagotomy associated to gastrojejunostomy and the pylore closing at both other were performed. After 24, 23 and 5 months follow-up all the patients were disease free; classified VISICK I. Rarely reported among the complications of the duodenal ulcer the choledoco-duodenal fistula is a reality. Currently the majority of the authors recommend the respect of the fistula in the event of surgical operation.
Diop
P S
PS
Service de chirurgie Hôpital Général de Grand Yoff Dakar, Senegal. dioppapasaloum@yahoo.com
Ndoye
J M
JM
Masson
A
A
Fall
B
B
D000328:Adult; D001658:Biliary Fistula / Q000209:etiology* / Q000601:surgery; D002779:Cholestasis / Q000209:etiology / Q000601:surgery; D004381:Duodenal Ulcer / Q000150:complications* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000150:complications* / Q000601:surgery