Post Cholecystectomy Choledochoduodenal Fistula: A Case Report

Authors

  • Anip Joshi National Academy of Medical Sciences, Mahaboudha, Kathamandu, Nepal
  • Samita Shakya National Academy of Medical Sciences, Mahaboudha, Kathamandu, Nepal
  • Surakshya Thapa National Academy of Medical Sciences, Mahaboudha, Kathamandu, Nepal
  • Rifka Sultan National Academy of Medical Sciences, Mahaboudha, Kathamandu, Nepal
  • Alish Rajbhandari National Academy of Medical Sciences, Mahaboudha, Kathamandu, Nepal
  • Priya Baral Ludwig Maximilian University, Geschwister-Scholl-Platz 1, Munich, Germany

DOI:

https://doi.org/10.31729/jnma.8815

Keywords:

choledochoduodenal fistula, choledocholithiasis, CBD exploration.

Abstract

Choledochoduodenal fistula is an abnormal connection between the common bile duct and the duodenum. The commonest cause is cholecystolithiasis, however, other causes are iatrogenic factors, bile duct stones (choledocholithiasis), and chronic duodenal ulcers. Here, we report a case of choledochoduodenal fistula secondary to long standing choledocholithiasis post cholecystectomy who presented with intermittent abdominal pain in the past three years which revealed choledochoduodenal fistula during Endoscopic Retrograde Cholangiopancreatography. As the patient had recurrent pain along with choledocholithiasis, surgical intervention was indicated. Choledochoduodenal fistula is suspected in case of recurrent cholangitis and surgery is recommended for refractory and complicated cases. Surgical treatment is also recommended for larger fistulas and especially with non-resolving medical treatment. This case highlights the treatment option for choledocholithiasis with choledochoduodenal fistula.

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Published

2024-10-31

How to Cite

Joshi, A., Shakya, S., Thapa, S., Sultan, R., Rajbhandari, A., & Baral, P. . (2024). Post Cholecystectomy Choledochoduodenal Fistula: A Case Report. Journal of Nepal Medical Association, 62(279), 777–779. https://doi.org/10.31729/jnma.8815