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...

Full description

Saved in:
Bibliographic Details
Published in:The Pan African medical journal 2018, Vol.29 (177), p.177-177
Main Authors: Chaouch, Mohamed Ali, Nacef, Karim, Ghannouchi, Mossab, Khalifa, Mohamed Ben, Chaouch, Asma, Abdelkafi, Molk, Jerbi, Saida, Boudokhane, Moez
Format: Article
Language:English
Subjects:
Abdomen
Barium
Barium - administration & dosage
barium meal
Bile
biliary fistula
Biliary Fistula - diagnostic imaging
Biliary Fistula - etiology
Case Report
choledochoduodenal fistula
Conservative Treatment
duodenal ulcer
Duodenal Ulcer - complications
Endoscopy
Fistula
Gallbladder
Gallbladder diseases
Humans
Male
Medical diagnosis
Medical treatment
Middle Aged
Patients
Peptic Ulcer - complications
Surgery
Ulcers
Ultrasonic imaging
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2018.29.177.15043