Duodenal Ulceration Erosion Into the Common Bile Duct Status Post-Roux-en-Y Gastric Bypass: A Case Report

Peptic ulcer disease (PUD) affects approximately four million people worldwide. The most common etiologies of PUD are   (H. pylori) infections, chronic nonsteroidal anti-inflammatory drug (NSAID) use, and smoking. A rare cause of ulcer formation is documented in patients following Roux-en-Y gastric...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-06, Vol.16 (6), p.e62496
Main Authors: Harris, Andrew, Chance, Nathan, Fillerup, Ian, Morrison, Eric, Goethals, Andrea
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Anemia
Bile ducts
Body mass index
Case reports
Colonoscopy
Fistula
Gastroenterology
Gastrointestinal surgery
General Surgery
Hematemesis
Hemodynamics
Hemoglobin
Hemorrhage
Laparotomy
Ostomy
Pain
Patients
Small intestine
Ulcers
Veins & arteries
Visualization
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Summary:Peptic ulcer disease (PUD) affects approximately four million people worldwide. The most common etiologies of PUD are   (H. pylori) infections, chronic nonsteroidal anti-inflammatory drug (NSAID) use, and smoking. A rare cause of ulcer formation is documented in patients following Roux-en-Y gastric bypass (RYGB) procedures. Delayed treatment of these ulcers can further lead to ulcer perforation, erosion of the gastroduodenal artery (GDA), and fistula formation between the biliary structures and the gastrointestinal tract. Herein, we discuss the case of a 69-year-old female with an ulcer perforation 19 years after RYGB, resulting in an atypical ulcer erosion of the common bile duct without fistula formation.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.62496