Spontaneous duodenocutaneous fistula: a rare complication of duodenal ulcer

Reddy, Atigadda N.

doi:10.1136/pgmj.64.750.328

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…Finally, an endoscopy showed the duodenal ulcer and fistula opening as source for the cutaneous lesion and stool evacuation. Other diagnostic tools have been reported such as fistulography or upper gastrointestinal X-ray studies to demonstrate the duodenal perforation and fistula [ 3 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…In conclusion, spontaneous duodenocutaneous fistula caused by a perforated duodenal ulcer has been rarely reported in the literature [ 9 ]. More frequently, enterocutaneous fistulas are reported as complications after visceral or kidney surgery, as well as in pancreatitis, trauma or inflammatory bowel disease [ 3 , 4 , 6 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous duodenocutaneous fistula is a potential complication of duodenal ulcer. Nevertheless, to the best of our knowledge, only one case has been published in literature so far [ 9 ]. We report here the second case of spontaneous duodenocutaneous fistula because of duodenal ulcer with successful non-surgical management.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous duodenocutaneous fistula: a rare presentation of perforated duodenal ulcer

Barreto,

Kohler,

Fahrner

2024

Innovative Surgical Sciences

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Objectives Fistula formation between the duodenum and the skin of the anterior abdominal wall is a rare complication and reported most often following surgery. To the best of our knowledge, the development of a spontaneous duodenocutaneous fistula in association with duodenal ulcer has only been reported once. Case presentation A 52-year-old female patient presented at the emergency department with a painful ulcer and erythema on the right abdominal wall. On admission, she was in extremely poor general and nutritional condition. Laboratory analysis revealed inflammation. An empiric antibiotic therapy was initiated; parenteral nutrition, fluid, and electrolyte resuscitation were started. An enterocutaneous fistula was postulated and confirmed by endoscopy identifying a perforated duodenal ulcer. Surgery was not a valuable option and a Foley catheter was inserted through the fistula. During further endoscopic interventions, the Foley catheter was first replaced by a jejunal tube and later by a percutaneous endoscopic gastrostomy with a jejunal limb for enteral nutrition. The fistula output decreased, the local infection was controlled and the nutritional status improved. Conclusions Three months later the fistula was closed and the gastrostomy tube was removed. After 2 years the patient was in good general and nutritional condition.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Spontaneous duodenocutaneous fistula: a rare presentation of perforated duodenal ulcer

Barreto,

Kohler,

Fahrner

2024

Innovative Surgical Sciences

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Gastric ulcer penetrating the anterior abdominal wall: ultrasound diagnosis

2003

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We report two rare cases of penetration of the anterior abdominal wall by gastric peptic ulcers. The full diagnosis was made by ultrasound, which showed similar findings: sharply delineated, hyperechoic craters clearly traversing the gastric wall and covered by hypoechoic inflammatory components of the abdominal wall. Because ultrasound is increasingly used as a primary procedure for evaluation of abdominal complaints, efforts should be directed toward exploring the accessible portions of the gastric and duodenal walls to detect peptic ulcer disease and its complications.

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