A case of choledochoduodenal fistula – an unusual case report

Bhaviya, B.S.; Kar, Abhimanyu; Dutta, Monalisa; Mandal, Ardhendu; Bakshi, Sanjay De

doi:10.1002/ccr3.991

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…Diagnosing CDF mandates a high clinical suspicion and needs radiologic or endoscopic imaging to confirm. The presence of pneumobilia on plain X-ray, abdominal ultrasound, or CT scan should raise the suspicion of CDF; however, its presence is not universal [ 2 , 3 , 6 , 7 ]. EGD is another modality of investigation that can directly visualize the CDF and establish a cause such as PUD.…”

Section: Discussionmentioning

confidence: 99%

“…Although not yet tested, it may offer an attractive alternative for detecting CDF. Less commonly used tools of diagnosis are barium studies and laparoscopic surgery [ 2 , 6 , 7 ]. In this case report, our patient was investigated with most of the above-mentioned modalities for both diagnosis and therapy, starting with the detection of pneumobilia on ultrasound and CT which raised the suspicion of CDF, then proceeding to EGD, ERCP, and PTC for confirmation and treatment.…”

Section: Discussionmentioning

confidence: 99%

“…However, sometimes, there may be no obvious cause of this disorder. CDF accounts for 5-25% of all internal biliary fistulas [ 6 ]. Progress in hepatobiliary imaging techniques such as endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) has resulted in an increase in cases reported over the last 30 years.…”

Section: Introductionmentioning

confidence: 99%

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An Unusual Case of Choledochoduodenal Fistula Secondary to Peptic Ulcer Presenting With Cholangitis and Pneumobilia

AlZahrani,

AlMabadi,

AlZaharani

et al. 2023

Cureus

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Choledochodoudenal fistula is an uncommon bilio-enteric fistula with clinical presentation ranging from having no symptoms to frank cholangitis. The causes of choledochodoudenal fistula are multiple, with bile duct stones being the most common. Duodenal ulcer is rarely the source of choledochodoudenal fistula. Clinical diagnosis defies acumen, and high-quality imaging including endoscopic or radiologic imaging is required for confirmation. Management of choledochodoudenal fistula is not standardized and remains challenging. We report an unusual case of a choledochodoudenal fistula caused by a duodenal ulcer that presented with pneumobilia and cholangitis. Treatment demanded medical, endoscopic, radiologic, and, ultimately, surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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An Unusual Case of Choledochoduodenal Fistula Secondary to Peptic Ulcer Presenting With Cholangitis and Pneumobilia

AlZahrani,

AlMabadi,

AlZaharani

et al. 2023

Cureus

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“…Choledochoduodenal fistula (CDF) is a special type of biliary intestinal fistula, exists abnormal channel between the common bile duct and duodenum [ 11 ]. It occurs more common in female in China [ 12 ], and the risk of this illness is higher when a person has a history of disease of the biliary tract, abdominal pain, fever, jaundice that are prime symptoms of it [ 13 ], but some patients have vomiting, diarrhea, and other gastrointestinal manifestations as main symptoms. In this patient, there were no typical symptoms such as abdominal pain, fever, and jaundice, and acid reflux and heartburn were also not obvious.…”

Section: Discussionmentioning

confidence: 99%

Chronic cough caused by choledochoduodenal fistula: a case report

Cao

Jin

et al. 2021

BMC Pulm Med

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Background Chronic cough is characterized by cough as the only or main symptom, with a duration of more than 8 weeks and no obvious abnormality in chest X-ray examination. Its etiology is complex, including respiratory disease, digestive system disease, circulation system disease, and psychological disease. Although a set of etiological diagnosis procedures for chronic cough have been established, it is still difficult to diagnose chronic cough and there are still some patients with misdiagnosis. Case presentation We present a case of a 54-year-old female patient who had chronic cough for 28 years. Physical examination had no positive signs and she denied any illness causing cough like tuberculosis, rhinitis. Recurrent clinic visits and symptomatic treatment didn’t improve the condition. Finally, gastroscopy identified the possible etiology of choledochoduodenal fistula that was proved by surgery. And after surgery, the patient's cough symptoms were significantly improved. Conclusion We report a rare case of chronic cough caused by choledochoduodenal fistula which demonstrates our as yet inadequate recognition of the etiology and pathogenesis. Written informed consent was obtained from the patient.

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Choledochoduodenal Fistula during Chemotherapy with Brentuximab Vedotin for Methotrexate-associated Lymphoproliferative Disorder

et al. 2018

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We herein report a patient with a history of rheumatoid arthritis treated with methotrexate, which caused methotrexate-associated lymphoproliferative disorder and obstructive jaundice due to an enlarged lymph node. The obstructive jaundice was treated with endoscopic biliary stenting. A histopathological examination revealed features of Hodgkin's lymphoma, and chemotherapy with brentuximab vedotin was administered. Cholangiography and duodenoscopy after four rounds of chemotherapy revealed a choledochoduodenal fistula that developed in response to chemotherapy. It should be noted that, in cases of lymphoma infiltrating the gastrointestinal wall, fistulae can occur because of rapid regression due to regimens comprising monoclonal antibodies, such as rituximab and brentuximab vedotin.

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A case of choledochoduodenal fistula – an unusual case report

Cited by 4 publications

References 6 publications

An Unusual Case of Choledochoduodenal Fistula Secondary to Peptic Ulcer Presenting With Cholangitis and Pneumobilia

An Unusual Case of Choledochoduodenal Fistula Secondary to Peptic Ulcer Presenting With Cholangitis and Pneumobilia

Chronic cough caused by choledochoduodenal fistula: a case report

Choledochoduodenal Fistula during Chemotherapy with Brentuximab Vedotin for Methotrexate-associated Lymphoproliferative Disorder

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