胆总管十二指肠瘘：十二指肠溃疡的一种罕见并发症

[Choledochoduodenal fistula: an unusual complication of duodenal ulcer].

作者信息

Amar A, Ribeyre D, Lombard F, Yonneau L, Egarnes M, Valyi L, Marry J P, Edouard A

机构信息

Service de Chirugie OB, Hôpital P. Zobda-Quitman, Fort-de-France, Ile de la Martinique.

出版信息

Gastroenterol Clin Biol. 1996;20(4):394-6.

PMID:8758506

Abstract

We report a case of choledochoduodenal fistula in a patient with a duodenal ulcer and poor compliance to treatment. The fistula tract was demonstrated on a plain abdominal X-ray (presence of air in the biliary tract), and was confirmed by a fistulography from the site of the ulcer (opacification of the bile duct). A Finsterer type 2/3 gastrectomy was performed in this patient, leading to the treatment of the ulcer and disappearance of the fistula following a gastrojejunal shunt of the duodenum. Clinical outcome was excellent.

摘要

我们报告一例患有十二指肠溃疡且治疗依从性差的患者发生胆总管十二指肠瘘的病例。腹部平片显示了瘘管（胆道内有气体），并通过溃疡部位的瘘管造影（胆管显影）得以证实。该患者接受了芬斯特勒2/3式胃切除术，在十二指肠进行胃空肠分流术后，溃疡得到治疗，瘘管消失。临床结果极佳。