This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (1)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

NICHOLAS L. LEKACOS, MD; PERICLIS J. TZARDIS, MD
Athens, Greece

Arch Surg. 1986;121(4):492.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—Most spontaneous internal biliary fistulas are caused by gallstones eroding into surrounding hollow viscera. Cholecystoduodenal fistulas are most common followed by cholecystocolic, choledochoduodenal, and cholecystogastric fistulas.^1,2

Rarely, a choledochoduodenal fistula may be due to benign ulcer disease. Such a patient is described below.

Report of a Case.—A 41-year-old man (a taxi driver) with a 20-year history of duodenal ulcer was admitted to the hospital. An upper gastrointestinal tract series demonstrated free reflux of barium into the biliary tree. Gastroduodenoscopy disclosed a duodenal ulcer located at the posterior wall of the duodenum.

A subtotal gastrectomy and gastrojejunostomy were performed. The gallbladder and the common bile duct seemed distended. Exploration of the bile ducts and perioperative cholangiography showed no stones or stenosis, but the contrast material did not enter the duodenum and the fistulous tract was not demonstrated.

The obstruction of the ampulla of Vater was explained . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?