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27 March 2019 : Case report  Lebanon

Choledochoduodenal Fistula Secondary to Peptic Ulcer Disease: A Case Report

Challenging differential diagnosis, Rare coexistence of disease or pathology

Antoine Kachi12DG, Mouhammad Kanj1ABCDEF, Charif Khaled1ABCE, Chady Nassar1A, Charbel Bou Rached1A, Alaa Kansoun1ABCDEF*

DOI: 10.12659/AJCR.915600

Am J Case Rep 2019; 20:398-401

Abstract

BACKGROUND: Choledochoduodenal fistula is an uncommon complication secondary to peptic ulcer disease. Determining this diagnosis is challenging especially when confronted with unspecific physical and radiological findings.

CASE REPORT: Here we report a case of a 29-year-old Ethiopian female who presented to Geitaoui University Hospital in Beirut, Lebanon with epigastric pain and was diagnosed to have of choledochoduodenal fistula.

CONCLUSIONS: Choledochoduodenal fistula is a rare complication of duodenal ulcer and this case report may help clinicians to identify suspected cases of this entity with similar presentations.

Keywords: Biliary Fistula, Intestinal Fistula, Peptic Ulcer, Adult, Cholangiopancreatography, Endoscopic Retrograde, Cholangiopancreatography, Magnetic Resonance, Common Bile Duct Diseases, Duodenal Diseases

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923