Spontaneous Choledochoduodenal Fistula due to Peptic Ulcer Disease

Abstract

Spontaneous choledochoduodenal fistula is a rare complication of peptic ulcer disease, and surgical is generally directed towards the ulcer itself. We present 2 cases with spontaneous choledochoduodenal fistula due to peptic ulcer disease. One of our cases is a 27-year-old male who had a 3-year history of duodenal ulcer, while the other patient is a 56-year-old female who had a 5-year history of peptic ulcer and developed pyloric stenosis in the last month before hospitalization. Both these patients were successfully treated by truncal vagotomy with antecolic gastrojejunostomy. They were asymptomatic for follow-up periods of 8 months and 6 years, respectively.