A Case of Choledocholithiasis Complicated by Choledochoduodenal Fistula
Abstract
Duodenal fistula refers to the pathological channel formed between the duodenum and the hollow viscera of the human body. If it is connected to a single cavity organ, it is a simple duodenal fistula. If it is connected to ≥ 2 and the hollow viscera are connected, it is a complicated internal duodenal fistula, but simple ones are more common. Once a duodenal fistula develops, it establishes a pathological communication between duodenal contents and related organs, resulting in compromised organ function, infections, malnutrition, bleeding, and other detrimental effects. A patient with choledocholithiasis and choledochoduodenal fistula was treated in our hospital. She underwent laparoscopic left hemihepatectomy + laparoscopic choledochojejunostomy and was discharged 4 days after surgery.
References
Kachi A, Kanj M, Khaled C, et al., 2019, Choledochoduodenal Fistula Secondary to Peptic Ulcer Disease: A Case Report. Am J Case Rep, 20: 398–401.
Stagnitti F, Stagnitti A, Tarcoveanu E, 2021, Spontaneous Biliary-Enteric Fistulas and Associated Complications: An Overview. Chirurgia (Bucur), 116(6 Suppl): S28–S35.
Kuang Y, 2004, A Case Report of Gastroduodenal Fistula Caused by Peptic Ulcer. Journal of Local Surgery, 13(2): 109.
Tazuma S, Unno M, Igarashi Y, et al., 2017, Evidence-Based Clinical Practice Guidelines for Cholelithiasis 2016. J Gastroenterol, 52(3): 276–300.
Gong J, Zhou Y, Han B, 1999, Diagnosis and Classification of Choledochoduodenal Fistula. Chinese Journal of Digestive Endoscopy, 1999(2): 42–43.
Li ZH, Ding J, Ye Y, et al., 2006, New Strategy to Prevent Ascending Cholangitis in Larger Choledochoduodenal Fistula. ANZ J Surg, 76(9): 796–800.
