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April 1959

Benign Duodenocolic Fistula

Author Affiliations

Miami, Fla.; Tampa, Fla.; Miami, Fla.
Present address (Dr. Starzl): Department of Surgery, Northwestern University Medical School, Chicago, U. S. Public Health Service Trainee No. 904 (Dr. Meyer).; From the Department of Surgery, University of Miami School of Medicine, Coral Gables, Fla., and the Department of Radiology and Surgery, Tampa General Hospital, Tampa, Fla.

AMA Arch Surg. 1959;78(4):611-619. doi:10.1001/archsurg.1959.04320040105024

Duodenocolic fistulas are uncommon and are most frequently secondary to carcinoma of the colon.3 Duodenocolic fistula due to an underlying benign disease is very rare, the world literature containing accounts of only 23 such cases.

It is the purpose of this report to document an additional case of benign duodenocolic fistula, which was thought to have been a complication of a duodenal ulcer, and to review the clinical features, etiology, pathogenesis, and treatment of this and the Previously described cases.

Report of a Case  A 64-year-old white woman was admitted to the surgical service on Oct. 15, 1957, with abdominal pain, vomiting, and weight loss. She had been well and without gastrointestinal complaints until six months before admission. At this time she developed epigastric pain, which gradually became continuous and which was not related to food ingestion. One month before admission she developed persistent nausea with marked increase in