Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment
Peptic ulcer complication has decreased over le last years. Spontaneous bilio-digestive fistulas, in the absence of primary biliary disease, remain a very unusual complication of the upper digestive tract. The choledochoduodenal fistula is an extremely rare entity which can be caused by a duodenal p...
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| Format: | Article |
| Language: | English |
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The Pan African Medical Journal
2018-03-01
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| Series: | The Pan African Medical Journal |
| Subjects: | |
| Online Access: |
https://www.panafrican-med-journal.com/content/article/29/177/pdf/177.pdf
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| _version_ | 1818916900093034496 |
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| author | Mohamed Ali Chaouch Karim Nacef Mossab Ghannouchi Mohamed Ben Khalifa Asma Chaouch Molk Abdelkafi Saida Jerbi Moez Boudokhane |
| author_facet | Mohamed Ali Chaouch Karim Nacef Mossab Ghannouchi Mohamed Ben Khalifa Asma Chaouch Molk Abdelkafi Saida Jerbi Moez Boudokhane |
| author_sort | Mohamed Ali Chaouch |
| collection | DOAJ |
| description | Peptic ulcer complication has decreased over le last years. Spontaneous bilio-digestive fistulas, in the absence of primary biliary disease, remain a very unusual complication of the upper digestive tract. The choledochoduodenal fistula is an extremely rare entity which can be caused by a duodenal peptic ulcer. It appears with the symptoms of peptic ulcer disease. They are diagnosed incidentally on radiological exams. It was suspected after finding pneumobilia on abdominal ultrasound and confirmed by X-barium meals study. The purpose of this observation is to report the case of a patient presenting a choledochoduodenal fistula diagnosed by X-barium meal to underline the importance of this radiological exam to diagnose this disease and to insist on the conservative treatment for choledochoduodenal fistula caused by a duodenal peptic ulcer. The prognosis of patients treated medically is good, although the fistula can remain asymptomatic. Angiocholitis and biliary sequelae remain rare and do not warrant prophylactic surgical treatment. |
| first_indexed | 2024-12-20T00:25:31Z |
| format | Article |
| id | doaj.art-6a79edbca9e3476896e046b8ff90f3f5 |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-20T00:25:31Z |
| publishDate | 2018-03-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-6a79edbca9e3476896e046b8ff90f3f52022-12-21T20:00:04ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882018-03-012917710.11604/pamj.2018.29.177.1504315043Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatmentMohamed Ali Chaouch0Karim Nacef1Mossab Ghannouchi2Mohamed Ben Khalifa3Asma Chaouch4Molk Abdelkafi5Saida Jerbi6Moez Boudokhane7 Department of General Surgery, Tahar Sfar Hospital, Mahdia, Tunisia Department of General Surgery, Tahar Sfar Hospital, Mahdia, Tunisia Department of General Surgery, Tahar Sfar Hospital, Mahdia, Tunisia Department of General Surgery, Tahar Sfar Hospital, Mahdia, Tunisia Department of General Surgery, Tahar Sfar Hospital, Mahdia, Tunisia Department of Radiology, Tahar Sfar Hospital, Mahdia, Tunisia Department of Radiology, Tahar Sfar Hospital, Mahdia, Tunisia Department of General Surgery, Tahar Sfar Hospital, Mahdia, Tunisia Peptic ulcer complication has decreased over le last years. Spontaneous bilio-digestive fistulas, in the absence of primary biliary disease, remain a very unusual complication of the upper digestive tract. The choledochoduodenal fistula is an extremely rare entity which can be caused by a duodenal peptic ulcer. It appears with the symptoms of peptic ulcer disease. They are diagnosed incidentally on radiological exams. It was suspected after finding pneumobilia on abdominal ultrasound and confirmed by X-barium meals study. The purpose of this observation is to report the case of a patient presenting a choledochoduodenal fistula diagnosed by X-barium meal to underline the importance of this radiological exam to diagnose this disease and to insist on the conservative treatment for choledochoduodenal fistula caused by a duodenal peptic ulcer. The prognosis of patients treated medically is good, although the fistula can remain asymptomatic. Angiocholitis and biliary sequelae remain rare and do not warrant prophylactic surgical treatment. https://www.panafrican-med-journal.com/content/article/29/177/pdf/177.pdf choledochoduodenal fistuladuodenal ulcerbiliary fistulabarium meal |
| spellingShingle | Mohamed Ali Chaouch Karim Nacef Mossab Ghannouchi Mohamed Ben Khalifa Asma Chaouch Molk Abdelkafi Saida Jerbi Moez Boudokhane Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment The Pan African Medical Journal choledochoduodenal fistula duodenal ulcer biliary fistula barium meal |
| title | Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment |
| title_full | Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment |
| title_fullStr | Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment |
| title_full_unstemmed | Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment |
| title_short | Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment |
| title_sort | choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by x barium meal study interest of medical treatment |
| topic | choledochoduodenal fistula duodenal ulcer biliary fistula barium meal |
| url |
https://www.panafrican-med-journal.com/content/article/29/177/pdf/177.pdf
|
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