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


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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


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