Leiomyoma of the duodenum

✍ Scribed by W. N. Coombes

• Publisher: John Wiley and Sons
• Year: 1958
• Tongue: English
• Weight: 370 KB
• Volume: 46
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.18004619609

✦ Synopsis

Three examples of choledochoduodenal fistula due to peptic ulceration are described. All were detected on radiological examination of the upper abdomen. They were treated successfully by Polyatype subtotal gastrectomies, but the fistulae persisted.

Addendum.-Since the submission of this paper for publication a fourth patient has been treated by Polya gastrectomy. H e had had a 40-years' history suggestive of duodenal ulceration and was admitted with pyloric obstruction. A barium meal outlined the lower part of the biliary tract. At operation there was an inflammatory mass involving the first part of the duodenum. There appeared to be penetrating ulcers on both the anterior and posterior walls.

Because of difficulty of access it was not possible fully to explore the fistula to find out if the lower part of the common bile-duct was occluded as in Cases 2 and 3. Bancroft's procedure was used to close the duodenal stump.