Cholangitis Secondary to Food Material Impaction in the Common Bile Duct through a Choledochoduodenal Fistula.

Author: Bong Koo KANG ¹ ; Sung Min PARK ; Byung Wook KIM ; Joon Sung KIM ; Ji Hee KIM ; Jeong Seon JI ; Hwang CHOI
Author Information

1. Division of Gastroenterology, Department of Internal Medicine, Incheon St. Mary' Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea. gastro@catholic.ac.kr
Publication Type:Case Report
Keywords: Biliary fistula; Cholangitis; Duodenal ulcer
MeSH: Biliary Fistula; Cholangitis*; Common Bile Duct*; Duodenal Obstruction; Duodenal Ulcer; Duodenum; Fistula*; Humans; Sepsis
From:Clinical Endoscopy 2015;48(3):265-267
CountryRepublic of Korea
Language:English
Abstract: 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.