title: Cholangitis Secondary to Food Material Impaction in the Common Bile Duct through a Choledochoduodenal Fistula.
abstract: Biliary-enteric communications caused by duodenal ulcers are uncommon, and choledochoduodenal fistula (CDF) is by far the most common type. Usually in this situation, food material does not enter the common bile duct because the duodenal lumen is intact. Here, we report a case in which cholangitis occurred due to food materials impacted through a CDF. Duodenal obstruction secondary to duodenal ulcer prevented food passage into the duodenum in this case. Surgical management was recommended; however, the patient refused surgery because of poor general condition. Consequently, the patient expired with sepsis secondary to ascending cholangitis.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Incheon St. Mary' Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
authors.forename: Bong-Koo
authors.initials: BK
authors.lastname: Kang
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Incheon St. Mary' Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
authors.forename: Sung Min
authors.initials: SM
authors.lastname: Park
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Incheon St. Mary' Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
authors.forename: Byung-Wook
authors.initials: BW
authors.lastname: Kim
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Incheon St. Mary' Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
authors.forename: Joon Sung
authors.initials: JS
authors.lastname: Kim
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Incheon St. Mary' Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
authors.forename: Ji Hee
authors.initials: JH
authors.lastname: Kim
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Incheon St. Mary' Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
authors.forename: Jeong-Seon
authors.initials: JS
authors.lastname: Ji
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Incheon St. Mary' Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
authors.forename: Hwang
authors.initials: H
authors.lastname: Choi
keywords: Biliary fistula; Cholangitis; Duodenal ulcer