[A case of choledochoduodenal fistula as a delayed complication after biliary metallic stent placement in distal cholangiocarcinoma].
Biliary drainage in patients with malignant biliary obstruction relieves jaundice and prevents the development of cholangitis or hepatic failure from biliary obstruction. Therefore, this may result in better quality of life along with survival prolongation. Biliary stent placement is an effective and safe measure for biliary decompression and is preferred than bypass surgery in high risk patients. Entero-biliary perforation-communication is one of the rare complications of biliary stent. We herein report a case of duodeno-biliary perforation-communication in patient with distal cholangiocarcinoma who presented with duodenal ulcer and obstruction, occurring 4 years later from the metallic biliary stent insertion. Patient was managed with a pyloric metal stent and conservative care.
Moon
Seol Kyung
SK
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Yeongdeungpo-gu, Seoul, Korea.
Cheung
Dae Young
DY
Kim
Ji Hun
JH
Im
Eun Joo
EJ
Ha
Jick Hwan
JH
Kim
Jin Il
JI
Park
Soo-Heon
SH
Kim
Jae Kwang
JK
D000369:Aged, 80 and over; D001650:Bile Duct Neoplasms / Q000150:complications / Q000175:diagnosis*; D001653:Bile Ducts, Intrahepatic / Q000473:pathology; D001658:Biliary Fistula / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D018281:Cholangiocarcinoma / Q000150:complications / Q000175:diagnosis*; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed