Stoianov S, Kosturkova A
Vutr Boles. 1990;29(4):104-6.
A case of a very rare complication--spontaneous fistula between a duodenal ulcer and the common biliary duct is presented. The diagnosis was made by various clinical investigations, the contrast X-ray examination being the most important. It allows the staining of the fistula and the intrahepatic biliary pathways. The computed tomography and the ultrasound examination are of secondary importance, the former being better that the Latter. The finding of gas in the biliary tracts with the help of these examinations directs towards the diagnosis.
本文报告了一例非常罕见的并发症——十二指肠溃疡与胆总管之间的自发性瘘管。通过各种临床检查做出诊断，其中造影X线检查最为重要。它能使瘘管和肝内胆管途径显影。计算机断层扫描和超声检查的重要性次之，前者比后者更好。借助这些检查在胆道中发现气体有助于做出诊断。
