A Case of Choledochoduodenal Fistula as a Delayed Complication after Biliary Metallic Stent Placement in Distal Cholangiocarcinoma.
- Author:
Seol Kyung MOON
1
;
Dae Young CHEUNG
;
Ji Hun KIM
;
Eun Joo IM
;
Jick Hwan HA
;
Jin Il KIM
;
Soo Heon PARK
;
Jae Kwang KIM
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. adagio@catholic.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Cholangiocarcinoma;
Metallic stent;
Perforation;
Fistula
- MeSH:
Aged, 80 and over;
Bile Duct Neoplasms/complications/*diagnosis;
Bile Ducts, Intrahepatic/pathology;
Biliary Fistula/*diagnosis/etiology/pathology;
Cholangiocarcinoma/complications/*diagnosis;
Duodenal Diseases/*diagnosis/etiology/pathology;
Female;
Humans;
Intestinal Fistula/*diagnosis/etiology/pathology;
Stents/*adverse effects;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2008;51(5):314-318
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Biliary drainage in patients with malignant biliary obstruction relieves jaundice and prevents the development of cholangitis or hepatic failure from biliary obstruction. Therefore, this may result in better quality of life along with survival prolongation. Biliary stent placement is an effective and safe measure for biliary decompression and is preferred than bypass surgery in high risk patients. Entero-biliary perforation-communication is one of the rare complications of biliary stent. We herein report a case of duodeno-biliary perforation-communication in patient with distal cholangiocarcinoma who presented with duodenal ulcer and obstruction, occurring 4 years later from the metallic biliary stent insertion. Patient was managed with a pyloric metal stent and conservative care.
