دورية أكاديمية
أعرض في EDS

Choledochoduodenal fistula: a rare complication of acute peptic ulcer bleeding.

التفاصيل البيبلوغرافية
العنوان: Choledochoduodenal fistula: a rare complication of acute peptic ulcer bleeding.
المؤلفون: Sreekumar S; Imperial College London, London, UK., Vithayathil M; Imperial College London, London, UK mathew.vithayathil@nhs.net.; Imperial College Healthcare NHS Trust, London, UK., Gaur P; Imperial College Healthcare NHS Trust, London, UK., Karim S; Imperial College Healthcare NHS Trust, London, UK.
المصدر: BMJ case reports [BMJ Case Rep] 2021 Nov 17; Vol. 14 (11). Date of Electronic Publication: 2021 Nov 17.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101526291 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-790X (Electronic) Linking ISSN: 1757790X NLM ISO Abbreviation: BMJ Case Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BMJ Pub. Group
مواضيع طبية MeSH: Biliary Fistula*/complications , Biliary Fistula*/diagnostic imaging , Common Bile Duct Diseases* , Duodenal Diseases*/complications , Duodenal Diseases*/diagnostic imaging , Duodenal Ulcer*/complications , Intestinal Fistula*/complications , Intestinal Fistula*/diagnostic imaging, Aged ; Humans ; Male
مستخلص: A 75-year-old man presented with a 3-week history of melaena and right upper quadrant pain. This was on a background of significant alcohol intake and a complex medical history. He was haemodynamically unstable with investigations indicating a new iron-deficiency anaemia. After resuscitation, urgent intervention was required under general anaesthesia. This involved a triple phase abdominal CT, followed by emergency oesophagogastroduodenoscopy. This revealed deep ulceration with extension to the pancreatic head and common bile duct. There was also evidence of pneumobilia on CT, secondary to a choledochoduodenal fistula. Treatment encompassed an invasive and medical approach. Following treatment, the patient was stable, with follow-up endoscopy exhibiting good duodenal mucosal healing.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: GI bleeding; endoscopy; gastroenterology; pancreas and biliary tract; ulcer
تواريخ الأحداث: Date Created: 20211118 Date Completed: 20211119 Latest Revision: 20231118
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC8601065
DOI: 10.1136/bcr-2021-246532
PMID: 34789532
قاعدة البيانات: MEDLINE
الوصف
تدمد:1757-790X
DOI:10.1136/bcr-2021-246532