CHOLEDOCODUODENAL FISTULA - A RARE COMPLI CATION OF DUODENAL-ULCER

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.