Spontaneous duodenocutaneous fistula: a rare presentation of perforated duodenal ulcer

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.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Spontaneous duodenocutaneous fistula: a rare presentation of perforated duodenal ulcer ; volume:9 ; number:2 ; year:2024 ; pages:109-112 ; extent:04 ; Innovative surgical sciences ; 9, Heft 2 (2024), 109-112 (gesamt 04)

Contributors, Places and Time

• Creator: Barreto, Isabel ; Kohler, Arnold ; Fahrner, René

Further information

• DOI: 10.1515/iss-2023-0051
• URN: urn:nbn:de:101:1-2408021629231.906069383318
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 14.08.2025, 10:49 AM CEST