About the journal

Cobiss

Srpski arhiv za celokupno lekarstvo 2010 Volume 138, Issue 5-6, Pages: 347-350
https://doi.org/10.2298/SARH1006347C
Full text ( 342 KB)
Cited by


Choledochoduodenal fistula of ulcer etiology

Čolović Radoje (Institut za bolesti digestivnog sistema, Klinički centar Srbije, Beograd)
Grubor Nikica (Institut za bolesti digestivnog sistema, Klinički centar Srbije, Beograd)
Perišić Mirjana (Institut za bolesti digestivnog sistema, Klinički centar Srbije, Beograd)
Micev Marjan (Institut za bolesti digestivnog sistema, Klinički centar Srbije, Beograd)
Latinčić Stojan ORCID iD icon (Institut za bolesti digestivnog sistema, Klinički centar Srbije, Beograd)
Čolović Nataša (Institut za hematologiju, Klinički centar Srbije, Beograd)

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. .

Keywords: duodenal ulcer, choledochoduodenal fistula, operation

More data about this article available through SCIndeks