We report a case of choledochoduodenal fistula in a patient with a duo
denal ulcer and poor compliance to treatment. The fistula tract was de
monstrated on a plain abdominal X-ray (presence of air in the biliary
tract), and was confirmed by a fistulography from the sire of the ulce
r (opacification of the bile duct). A Finsterer type 2/3 gastrectomy w
as performed in this patient, leading to the treatment of the ulcer an
d disappearance of the fistula following a gastrojejunal shunt of the
duodenum. Clinical outcome was excellent.