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[Duodenal ulcer and duodenocholedochal fistula]
C Manuel Palazuelos1, F Casado Martín, A Asensio
1Servicio de Cirugía General y Aparato Digestivo, Hospital Nacional Valdecilla, Santander, Universidad de Cantabria.
Revista Espanola De Enfermedades Digestivas
|January 1, 1990
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.