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Report of Autopsy Case Due to Peptic Ulcer and Review of Literature

E. E. PAUTLER, M.D.; JESSE C. WOODALL, M.D.; J. GANT GAITHER, M.D.

AMA Arch Intern Med. 1958;102(2):207-212.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Introduction

Fistulous tracts are of unusual interest when they occur between the duodenum and the colon. Benign lesions are less common as an etiologic factor than malignant neoplasms. Rees,¹ in 1933, reported the first nonmalignant duodenocolic fistula and considered a ruptured typhoid ulcer to be the cause. Up to date a total of 21 examples have been recorded.^2-19 Other implied causations for this condition have been peptic ulcer, tuberculous lymphadenitis, ulcerative colitis, acute gallbladder disease, and even appendicitis. However, it appears that the same case has been cited by Krock⁹ and Olson.¹⁰ The patient presented by Blondeau² has been rejected because the death occurred without surgical proof of the diagnosis. Likewise, Case 2 of Garland and Wyatt¹⁵ is open to question, since the sinus tract was not seen at operation, and was diagnosed later by roentgen studies. Thus it would appear that there are . . . [Full Text PDF of this Article]

Author Affiliations
Ft. Campbell, Ky.; Hopkinsville, Ky.

Footnotes
Submitted for publication Jan. 8, 1958.

Now Co-Director of Laboratories, Mercy Hospital, Bakersfield, Calif., and Assistant Professor of Pathology, College of Medical Evangelists, Loma Linda, Calif. (Dr. Pautler).

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