[Supra-vaterian duodenal ulcer perforated into the transverse colon. Severe state of cachexia]

In connection with a clinical observation the authors refer on this rare complication of duodenal ulcer situated above the Vater ampula. Fistulization in the transverse colon led to a short-circulting of the small bowel and an advanced cachectic condition. Surgery consisted in the suppression of the fistula that had developed between the duodenum and the colon, associated with anterior duodeno-papillo-antrectomy, Judo piloroplastia and bilateral, sub-diaphragmatic troncular vagotomy, and resulted in the recovery of the patient.