胆总管十二指肠瘘：十二指肠溃疡的一种罕见并发症。病例报告。
Choledochoduodenal fistula: a rare complication of duodenal ulcer. Case report.
作者信息
Ayyash K, Jadallah F
机构信息
Department of Surgery, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
出版信息
Acta Chir Scand. 1989 Aug;155(8):423-5.
PMID:2596250
Abstract
In a 29-year-old man with pyloric obstruction, plain abdominal radiography showed gas in the biliary tree. Gastroscopy revealed severe duodenal stenosis with a large posterior ulcer, and barium from a test meal passed into the common bile duct. Ten days after truncal vagotomy and gastrojejunostomy, signs of ascending cholangitis appeared. Following antibiotic treatment and cholecystectomy the patient recovered.
摘要
一名29岁患有幽门梗阻的男性，腹部平片显示胆道内有气体。胃镜检查发现严重的十二指肠狭窄并伴有一个大的后壁溃疡，试验餐的钡剂进入胆总管。在进行迷走神经切断术和胃空肠吻合术后10天，出现了上行性胆管炎的体征。经过抗生素治疗和胆囊切除术后，患者康复。
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