Choledochoduodenal Fistula Complicating Duodenal Ulcer

Choledochoduodenal fistula complicating chronic duodenal ulcer in Nigerians.

“…Craighead and St. Raymond (1954) reported four cases while the largest collection of five cases with a review of the literature was by Hutchings, Wheeler, and Puestow (1956). Our analysis of 12 cases over a period of seven years may possibly now be the largest series.…”

“…Four of our cases had associated duodenal stenosis, the most common complication of duodenal ulcer in Ibadan. There was one case of associated duodenal stenosis in the series of Hutchings et al (1956).…”

“…The oldest patient was 60 years old. In the review of 28 cases from the world literature (Hutchings et al, 1956), the average age was 45 years, the youngest being 24 years and the oldest 85 years.…”

“…We had only one case in a woman in our series. There were none in the review by Hutchings et al (1956).…”

“…In the account of Hutchings et al (1956) there were cases in which subsequent radiographs showed that the choledochoduodenal fistulas were still present after one to three years of medical management. All of our cases except one had surgical treatment and no gall stones were seen in any of them.…”