Choledochoduodenal fistula: a rare complication of duodenal ulcer. Case report.
In a 29-year-old man with pyloric obstruction, plain abdominal radiography showed gas in the biliary tree. Gastroscopy revealed severe duodenal stenosis with a large posterior ulcer, and barium from a test meal passed into the common bile duct. Ten days after truncal vagotomy and gastrojejunostomy, signs of ascending cholangitis appeared. Following antibiotic treatment and cholecystectomy the patient recovered.
Ayyash
K
K
Department of Surgery, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
Jadallah
F
F
D000328:Adult; D001658:Biliary Fistula / Q000209:etiology* / Q000601:surgery; D004378:Duodenal Diseases / Q000209:etiology* / Q000601:surgery; D004381:Duodenal Ulcer / Q000150:complications / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D008297:Male