Choledochoduodenal fistula of ulcer etiology
Introduction Choledochoduodenal fistulas are very rare and in most cases are caused by a long-lasting and poorly treated chronic duodenal ulcer. They may be asymptomatic or followed by symptoms of ulcer disease, by attacks of cholangitis or bleeding or vomiting in cases of ductoduodenal stenosis. Th...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2010-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791006347C.pdf |
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| author | Čolović Radoje Grubor Nikica Perišić Mirjana Micev Marjan Latinčić Stojan Čolović Nataša |
| author_facet | Čolović Radoje Grubor Nikica Perišić Mirjana Micev Marjan Latinčić Stojan Čolović Nataša |
| author_sort | Čolović Radoje |
| collection | DOAJ |
| description | Introduction Choledochoduodenal fistulas are very rare and in most cases are caused by a long-lasting and poorly treated chronic duodenal ulcer. They may be asymptomatic or followed by symptoms of ulcer disease, by attacks of cholangitis or bleeding or vomiting in cases of ductoduodenal stenosis. The diagnosis is simple and safe, however treatment is still controversial. If surgery is the choice of treatment, local findings should be taken into consideration. As a rule, intervention involving closure of fistula is not recommended. Case Outline The authors present a 60-year-old woman with a long history of ulcer disease who developed attacks of cholangitis over the last three years. Ultrasonography and CT showed masive pneumobilia due to a choledochoduodenal fistula. . As there was no duodenal stenosis or bleeding, at operation the common bile duct was transected and end-to-side choledochojejunostomy was performed using a Roux-en Y jejunal limb. From the common bile duct, multiple foreign bodies of herbal origin causing biliary obstruction and cholangitis were removed. After uneventful recovery the patient stayed symptom free for four years now. Conclusion The performed operation was a simple and good surgical solution which resulted in complication-free and rapid recovery with a long-term good outcome. . |
| first_indexed | 2024-12-13T10:45:29Z |
| format | Article |
| id | doaj.art-17118fb9199b4521b9c0e2fc4f2d1d67 |
| institution | Directory Open Access Journal |
| issn | 0370-8179 |
| language | English |
| last_indexed | 2024-12-13T10:45:29Z |
| publishDate | 2010-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-17118fb9199b4521b9c0e2fc4f2d1d672022-12-21T23:50:13ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792010-01-011385-634735010.2298/SARH1006347CCholedochoduodenal fistula of ulcer etiologyČolović RadojeGrubor NikicaPerišić MirjanaMicev MarjanLatinčić StojanČolović NatašaIntroduction Choledochoduodenal fistulas are very rare and in most cases are caused by a long-lasting and poorly treated chronic duodenal ulcer. They may be asymptomatic or followed by symptoms of ulcer disease, by attacks of cholangitis or bleeding or vomiting in cases of ductoduodenal stenosis. The diagnosis is simple and safe, however treatment is still controversial. If surgery is the choice of treatment, local findings should be taken into consideration. As a rule, intervention involving closure of fistula is not recommended. Case Outline The authors present a 60-year-old woman with a long history of ulcer disease who developed attacks of cholangitis over the last three years. Ultrasonography and CT showed masive pneumobilia due to a choledochoduodenal fistula. . As there was no duodenal stenosis or bleeding, at operation the common bile duct was transected and end-to-side choledochojejunostomy was performed using a Roux-en Y jejunal limb. From the common bile duct, multiple foreign bodies of herbal origin causing biliary obstruction and cholangitis were removed. After uneventful recovery the patient stayed symptom free for four years now. Conclusion The performed operation was a simple and good surgical solution which resulted in complication-free and rapid recovery with a long-term good outcome. .http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791006347C.pdfduodenal ulcercholedochoduodenal fistulaoperation |
| spellingShingle | Čolović Radoje Grubor Nikica Perišić Mirjana Micev Marjan Latinčić Stojan Čolović Nataša Choledochoduodenal fistula of ulcer etiology Srpski Arhiv za Celokupno Lekarstvo duodenal ulcer choledochoduodenal fistula operation |
| title | Choledochoduodenal fistula of ulcer etiology |
| title_full | Choledochoduodenal fistula of ulcer etiology |
| title_fullStr | Choledochoduodenal fistula of ulcer etiology |
| title_full_unstemmed | Choledochoduodenal fistula of ulcer etiology |
| title_short | Choledochoduodenal fistula of ulcer etiology |
| title_sort | choledochoduodenal fistula of ulcer etiology |
| topic | duodenal ulcer choledochoduodenal fistula operation |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791006347C.pdf |
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