A CASE OF AN UNHEARD TRIO OF COMPLICATIONS OF CHRONIC DUODENAL ULCER FROM GASTRIC OUTLET OBSTRUCTION, CHOLEDOCHODUODENAL FISTULA AND COMMON BILE DUCT STRICTURE

摘要

Commonly encountered complications of duodenal ulcer [DU] are bleeding and perforation, while gastric outlet obstruction [GOO] is uncommon. Penetrating duodenal ulcer leading to Choledochoduodenal Fistula [CDF] or Common Bile Duct ]CBD] Stricture, orpancreatic duct obstruction are as such extremely rare. We report a case of an unheard trio of complications of chronic duodenal ulcer gastric outlet obstruction, Choledochoduodenal fistula and common bile duct stricture [Thatte Syndrome] successfully treated with a symptom-free 12 years' follow-up, with a brief review of literature.