CHOLEDOCHODUODENAL FISTULA - A COMPLICATION OF A PENETRATED DUODENAL-ULCER

A 44 year old man who had a 5-year history of recurrent duodenal ulcer with a choledochoduodenal fistula is reported. He showed bulbar stric ture and was successfully treated with an truncal vagotomy and distal gastrectomy by Billroth II method, leaving the fistula intact. Choledo choduodenal fistula is an uncommon complication of penetrated peptic d uodenal ulcer. Surgical treatment for duodenal ulcer has been recommen ded. Medical management with the recent anti-ulcer drugs for choledoch oduodenal fistula also has been reported to gain good results.