Spontaneous Choledochoduodenal Fistula after Metallic Biliary Stent Placement in a Patient with Ampulla of Vater Carcinoma.
- Author:
Tae Hoon LEE
1
;
Sang Heum PARK
;
Sang Pil KIM
;
Sae Hwan LEE
;
Chang Kyun LEE
;
Il Kwun CHUNG
;
Hong Soo KIM
;
Sun Joo KIM
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Soon Chun Hyang University College of Medicine, Cheonan Hospital, Cheonan, Korea. pparksh@sch.ac.kr
- Publication Type:Case Report
- Keywords:
Choledochoduodenal fistula;
Stents;
Ampulla of Vater
- MeSH:
Ampulla of Vater;
Bile Ducts;
Calculi;
Drainage;
Fistula;
Humans;
Inflammation;
Necrosis;
Rupture;
Stents
- From:Gut and Liver
2009;3(4):360-363
- CountryRepublic of Korea
- Language:English
-
Abstract:
Biliary stent-related enteric perforations are very rare complications that are caused by the sharp end of a metallic stent, stent migration, or tumor invasion. Moreover, the choledochoduodenal fistula resulting from metallic biliary stent-induced perforation is extremely rare. Here, we report a case in which a spontaneous choledochoduodenal fistula occurred after biliary metallic stent placement in a patient with an Ampulla of Vater carcinoma but was successfully managed by supportive treatments, including nasobiliary drainage. This case might have occurred as the result of a rupture of the bile duct following pressure necrosis and inflammation caused by impacted calculi and food materials over the tumor ingrowth in the uncovered biliary stent.
