Year 2021 / Volume 113 / Number 1
Letter
Spontaneous proximal choledochoduodenal fistula, a rare complication of cholangiolithiasis

74-75

DOI: 10.17235/reed.2020.7074/2020

Hong-Yan Wang, Xin-Xin Yang, Shao-Ju Guo,

Abstract
A 65-year-old female with a history of chronic gastritis presented with repeat epigastric pain and heartburn after meals. A physical examination was unremarkable, other than a mild fever and epigastric tenderness. Laboratory data revealed leucocytosis of 11,340/μl with 86.8 % of neutrophils, elevated γ-glutamyltransferase at 282.1 IU/l and mildly abnormal AST 40.5 IU/l, ALT 74.9 IU/l, total bilirubin 30.4 μmol/l (direct bilirubin 9.4 μmol/l) and amylase 202 IU/l. A gastroscopy showed a 4 mm fistula on the anterior wall of the proximal duodenal bulb, without ulcerations and the patient was admitted for intravenous antibiotic therapy.
Share Button
New comment
Comments
No comments for this article
References
1. Wu MB, Zhang WF, Zhang YL, et al. Choledochoduodenal fistula in Mainland China: a review of epidemiology, etiology, diagnosis and management. Ann Surg Treat Res 2015;89:240-6. DOI: 10.4174/astr.2015.89.5.240
2. Fedidat R, Safadi W, Waksman I, et al. Choledochoduodenal fistula: an unusual case of pneumobilia. BMJ Case Rep 2014;2014:bcr2014206798. DOI: 10.1136/bcr-2014-206798
3. Neumann H, Nägel A, Bernatik T, et al. Endoscopic closure of large, spontaneous, choledochoduodenal fistula by using an over-the-scope clip. Gastrointest Endosc 2011;74:200-2. DOI: 10.1016/j.gie.2011.01.057
4. Zhang L, Kang J, Qiao Z, et al. Gastroscopic removal of intrahepatic stones through a large choledochoduodenal fistula. Endoscopy 2015;47(Supl. 1):E361-2. DOI: 10.1055/s-0034-1392426
Related articles

Digestive Diseases Image

Traumatic biliary fistula with bile duct disconnection

DOI: 10.17235/reed.2024.10096/2023

Letter

Hematoma post-endoscopic retrograde cholangiopancreatography

DOI: 10.17235/reed.2023.9670/2023

Digestive Diseases Image

Endosonographic and ERCP findings in COVID-19 critical illness cholangiopathy

DOI: 10.17235/reed.2022.9218/2022

Digestive Diseases Image

Cholangiohydatidosis: an uncommon cause of acute cholangitis

DOI: 10.17235/reed.2020.7063/2020

Letter

Cholecystocutaneous fistula

DOI: 10.17235/reed.2019.5882/2018

Letter

Obstructive jaundice of a parasitic etiology

DOI: 10.17235/reed.2018.5827/2018

Citation tools
Wang H, Yang X, Guo S. Spontaneous proximal choledochoduodenal fistula, a rare complication of cholangiolithiasis. 7074/2020


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 968 visits.
This article has been downloaded 136 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 25/03/2020

Accepted: 29/03/2020

Online First: 19/11/2020

Published: 11/01/2021

Article Online First time: 239 days

Article editing time: 292 days


Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology