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KMID : 1038120150480030265
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Clinical Endoscopy
2015 Volume.48 No. 3 p.265 ~ p.267
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Cholangitis Secondary to Food Material Impaction in the Common Bile Duct through a Choledochoduodenal Fistula
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Kang Bong-Koo
Park Sung-Min
Kim Byung-Wook
Kim Joon-Sung
Kim Ji-Hee
Ji Jeong-Seon
Choi Hwang
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Abstract
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Biliary-enteric communications caused by duodenal ulcers are uncommon, and choledochoduodenal fistula (CDF) is by far the most common type. Usually in this situation, food material does not enter the common bile duct because the duodenal lumen is intact. Here, we report a case in which cholangitis occurred due to food materials impacted through a CDF. Duodenal obstruction secondary to duodenal ulcer prevented food passage into the duodenum in this case. Surgical management was recommended; however, the patient refused surgery because of poor general condition. Consequently, the patient expired with sepsis secondary to ascending cholangitis.
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KEYWORD
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Biliary fistula, Cholangitis, Duodenal ulcer
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