Rare presentation of primary coloduodenal fistula

Coloduodenal Fistula: The Role of MDCT on Diagnosing a Rare Entity

“…Crohn`s disease and duodenal ulcers have been reported as the most common benign causes. Iatrogenic fistulas, penetrating injuries, foreign bodies and other inflammatory conditions, such as ulcerative colitis, colonic diverticulitis, radiation enteritis, and other abdominal infectious processes have also been described as causes of coloduodenal fistulae [1][2][3][4]. Malignant fistulae are usually secondary to colonic tumours, mainly those located at the hepatic flexure or the transverse colon [2].…”

“…The management of an enteroenteric fistula may differ, depending on the affected segments of the duodenum and colon and the clinical status of the patient [3]. At some point, most cases will demand surgical intervention [7,8].…”