Abstract
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.
Key words
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References
- Choledochoduodenal fistula: a rare complication of duodenal ulcer.Am J Gastroenterol. 1984; 79: 416-420
- Choledochoduodenal fistulas.Endoscopy. 1991; 23: 76-78
- Clinical analysis of choledochoduodenal fistula with cholelithiasis in Taiwan: assessment by endoscopic retrograde cholangiopancreatography.Am J Gastroenterol. 1996; 91: 122-126
- Gastrointestinal: choledochoduodenal fistula.J Gastroenterol Hepatol. 2000; 15: 93
- Choledochoduodenal fistula at the anterior wall of the duodenal bulb: a rare complication of duodenal ulcer.Hepatogastroenterol. 1999; 46: 261-264
- Periampullary choledochoduodenal fistula associated with ampulla of Vater carcinoma.Dig Dis Sci. 2007; 52: 1592-1593
- Juxtapapillary choledochoduodenal fistula. Diagnosis and treatment in 19 cases.Ital J Surg Sci. 1987; 17: 347-353
- MR imaging of intramural duodenal hematoma.J Comput Assist Tomogr. 1986; 10: 1042-1043
- Diagnosis and management of duodenal injuries in children.J Pediatr Surg. 1997; 32: 880-886
- Blunt intestinal injury in children.Arch Surg. 1997; 132: 652-658
- Spontaneous and iatrogenic choledochoduodenal fistula—endoscopic diagnosis and therapy.Zeitschrift fur Gastroenterologie. 1998; 26: 704-707
- The aetiology and significance of distal choledochoduodenal fistula.Br J Surg. 1984; 71: 632-634
- Is peripapillary choledochoduodenal fistula an indication for endoscopic sphincterotomy.Gastrointest Endosc. 2000; 53: 313-317
- Endoscopic management of biliary fistulas with small caliber stents.Am J Gastroenterol. 1990; 85: 705-707
Article info
Publication history
Accepted:
September 3,
2008
Received in revised form:
September 3,
2008
Received:
July 17,
2008
Identification
Copyright
© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
