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May 1962

Benign Duodenocolic Fistula: Report of a Case and Review of the Literature on Fistula as a Complication of Subtotal Gastric Resection

Author Affiliations

U.S. Naval Hospital, Portsmouth (Dr. Hux); U.S. Naval Hospital, St. Albans, L.I., N.Y. (Dr. Zuska).

Arch Surg. 1962;84(5):564-569. doi:10.1001/archsurg.1962.01300230080015

Gastrocolic fistula due to marginal jejunal ulceration is a dreaded complication of gastrojejunostomy for peptic ulcer disease, and at the Lahey Clinic the incidence of gastrocolic fistula is about 2%.1 On the other hand, benign duodenocolic fistula following subtotal gastric resection has not been previously reported.2 The following case is reported because it is one of duodenocolic fistula occurring as a complication of gastric resection.

Report of Case  A 31-year-old white man was first admitted to the U.S. Naval Hospital, Portsmouth, Va., on July 20, 1956, with the chief complaint of 24 hours' duration of vomiting blood and passing tarry stools.During the preceding 3 years, the patient had had occasional bouts of epigastric pain off and on before meals and at night. These episodes were relieved by food and antacids. Gastrointestinal series at this hospital in July, 1955, failed to confirm the clinical impression of duodenal ulcer.

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