Choledochoduodenal Fistula Associated With Recurrent Peptic Ulcer

Abstract

A male 33 years of age who had a history of recurrent duodenal ulcer was admitted to our hospital because of frequent vomiting and weight loss. The blood tests showed hypokalemia and acute renal dysfunction due to dehydration. Abdominal CT revealed dilatation of the stomach with pneumobilia of the intrahepatic bile duce, and endoscopy showed duodenal ulcer with stricture of the duodenal bulb. The diagnosis of choledochoduodenal fistula due to duodenal ulcer was made, so he underwent surgical operation because the obstruction was severe. Both choledochobiliary fistula and duodenal stricture are relatively rare complications of duodenal ulcer. Here we report on a case accompanied by the both complications, requiring surgical operation.




J Med Cases. 2012;3(4):243-246
doi: https://doi.org/10.4021/jmc595w