Division of Gastroenterohepatology Department of Internal Medicine Faculty of Medicine - University of Padjadjaran Hasan Sadikin General Hospital Bandung.
Acta Med Indones. 2022 Apr;54(2):283-287.
Choledochoduodenal fistula (CDF) is a rare condition marked by an abnormal connection between the biliary duct and duodenum. The common etiology of secondary CDF are cholecystolithiasis, tumor, and duodenal ulcer. CDF may also caused by prior inflammatory condition or as a complication of radiation therapy. Management for this case is based on the patient condition. Herein we aimed to present a case of secondary choledocholithiasis due to stricture in the CDF which presented with cholangitis treated by self-expanding metal stent (SEMS) for biliary drainage. Patient admitted with jaundice, fever, right upper quadrant pain, and history of cholecystectomy. Diagnosis of CDF was determined by endoscopic retrograde cholangiopancreatography (ERCP) and followed by putting biliary stent for urgent biliary drainage. The follow up result after stent removal was excellent.
胆总管十二指肠瘘（CDF）是一种罕见的病症，其特征是胆管和十二指肠之间存在异常连接。继发性 CDF 的常见病因包括胆石症、肿瘤和十二指肠溃疡。CDF 也可能由先前的炎症状态或放射治疗的并发症引起。这种情况下的治疗方法基于患者的病情。本文旨在介绍一例因 CDF 狭窄导致的继发性胆石症病例，该病例因胆管炎而接受自膨式金属支架（SEMS）进行胆道引流。患者因黄疸、发热、右上腹疼痛和胆囊切除术史入院。CDF 的诊断通过内镜逆行胰胆管造影术（ERCP）确定，并随后放置胆道支架进行紧急胆道引流。支架取出后的随访结果良好。
