A Case of Choledocholithiasis Complicated by Choledochoduodenal Fistula
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Keywords

Choledochoduodenal fistula
Choledocholithiasis
Surgical treatment

DOI

10.26689/jcnr.v7i5.5188

Submitted : 2023-08-26
Accepted : 2023-09-10
Published : 2023-09-25

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.