Choledochoduodenal fistula caused by blunt abdominal trauma in a child.
We report a 15-year boy who presented with obstructive cholangiopathy and pancreatitis after blunt abdominal trauma. A magnetic resonance cholangiopancreatography showed dilated common bile duct, dilated hepatic ducts, and a suspicious choledochoduodenal fistula. An endoscopic retrograde cholangiopancreatography revealed a parapapillary choledochoduodenal fistula. An operation of choledochojejunostomy, excision of common bile duct, and cholecystectomy was done for recurrent cholangitis. Abdominal symptoms completely subsided one month later. Serum amylase, lipase and bilirubin levels turned to normal 3 months after operation.
Chao
Hsun-Chin
HC
Division of Pediatric Gastroenterology, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan 33305, Taiwan. hero@adm.cgmh.org.tw
Chen
Shih-Yen
SY
Luo
Chih-Cheng
CC
Wang
Chao-Jan
CJ
D000007:Abdominal Injuries / Q000150:complications*; D000063:Accidents, Traffic; D000293:Adolescent; D001658:Biliary Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000209:etiology; D002763:Cholecystectomy; D002768:Choledochostomy; D002908:Chronic Disease; D003135:Common Bile Duct / Q000601:surgery; D003137:Common Bile Duct Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D010195:Pancreatitis / Q000209:etiology; D012008:Recurrence; D014949:Wounds, Nonpenetrating / Q000150:complications*