DUODENOCOLIC FISTULA WITH INCOMPETENT SPHINCTER OF ODDI

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Abstract
This case of duodenocolic fistula is reported because of several unusual features: 1. The condition is apparently very rare, as I was unable to find any reports of a fistula between the duodenum and the colon which was not secondary to a malignant growth. 2. Traction from the fistulous tract had resulted in incompetence of the sphincter of Oddi, so that the contents of the duodenum were allowed to pass into the bile passages. This fact accounted for the unusual roentgen observations following the oral administration of barium, in which the ramifications of the hepatic tree were revealed, filled with the barium. 3. Finally, the fact that the liver had suffered no apparent damage in spite of the fact that it had been subjected to regurgitation of the contents of both the duodenum and the colon over a long period of time is rather remarkable. The patient was a married

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