Abstract
Gastroduodenal fistula (GDF) is a rare pathology, often associated with peptic ulcers and typically diagnosed electively. This article presents an unprecedented case of GDF perforation in a 79-year-old male, deviating from the asymptomatic norm. The unique feature lies in the acute abdominal presentation, challenging conventional understanding. The intricate surgical exploration revealed a novel fistulous tract extending from the prepyloric region to the fourth part of the duodenum. This atypical manifestation underscores the need for deeper research into GDF's diverse presentations, contributing to enhanced diagnostic and treatment strategies for this rare medical phenomenon.
Published Version
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