[Colo-duodenal fistula caused by cancer of the right colonic flexure treated by right extended hemicolectomy associated with a mucosal patch using a terminal ileal pedicled graft. Apropos of a case].

A considerable loss of substance of the duodenal wall makes its repair very difficult especially if this exceeds two-thirds of its circumference and is located around its entire second portion. Such a pathological or traumatic localization calls for extensive surgery-cephalic duodenopancreatectomy requiring several gastrojejunal, biliodigestive and the pancreaticodigestive shunts. If straightforward repair was possible, this could lead to stenosis and to a fistula producing complications and the death of the patient through peritonitis and hydroelectrolytic and metabolic imbalance.