Iatrogenic choledochoduodenal fistula: an unsuspected cause of post-cholecystectomy symptoms.
In the investigation of 90 patients referred with severe post-cholecystectomy problems, 8 patients were found at ERCP to have choledochoduodenal fistula. The clinical features associated with the fistula included pain with fever, jaundice or hyperamylasaemia. Reviewing the details of the original surgery and the endoscopic findings, it is suggested that most, if not all, of these fistulas are iatrogenic. Treatment by biliary bypass is recommended.
D000328:Adult; D000368:Aged; D001658:Biliary Fistula / Q000209:etiology*; D002758:Cholangiography; D002763:Cholecystectomy / Q000009:adverse effects*; D003137:Common Bile Duct Diseases / Q000209:etiology*; D004378:Duodenal Diseases / Q000209:etiology*; D004724:Endoscopy; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007412:Intestinal Fistula / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000000981:diagnostic imaging