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Spontaneous pneumobilia revealing choledocho-duodenal fistula: A rare complication of peptic ulcer disease

Spontaneous pneumobilia without previous surgery or interventional procedures indicates an abnormal biliary-enteric communication, most usually a cholelithiasis-related gallbladder perforation. Conversely, choledocho-duodenal fistulisation (CDF) from duodenal bulb ulcer is currently exceptional, ref...

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Autor principal: Tonolini, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665068/
https://www.ncbi.nlm.nih.gov/pubmed/23723630
http://dx.doi.org/10.4103/0974-2700.110814
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author Tonolini, Massimo
author_facet Tonolini, Massimo
author_sort Tonolini, Massimo
collection PubMed
description Spontaneous pneumobilia without previous surgery or interventional procedures indicates an abnormal biliary-enteric communication, most usually a cholelithiasis-related gallbladder perforation. Conversely, choledocho-duodenal fistulisation (CDF) from duodenal bulb ulcer is currently exceptional, reflecting the low prevalence of peptic disease. Combination of clinical data (occurrence in middle-aged males, ulcer history, absent jaundice and cholangitis) and CT findings including pneumobilia, normal gallbladder, adhesion with fistulous track between posterior duodenum and pancreatic head) allow diagnosis of CDF, and differentiation from usual gallstone-related biliary fistulas requiring surgery. Conversely, ulcer-related CDF are effectively treated medically, whereas surgery is reserved for poorly controlled symptoms or major complications.
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spelling pubmed-36650682013-05-30 Spontaneous pneumobilia revealing choledocho-duodenal fistula: A rare complication of peptic ulcer disease Tonolini, Massimo J Emerg Trauma Shock Images In Medicine Spontaneous pneumobilia without previous surgery or interventional procedures indicates an abnormal biliary-enteric communication, most usually a cholelithiasis-related gallbladder perforation. Conversely, choledocho-duodenal fistulisation (CDF) from duodenal bulb ulcer is currently exceptional, reflecting the low prevalence of peptic disease. Combination of clinical data (occurrence in middle-aged males, ulcer history, absent jaundice and cholangitis) and CT findings including pneumobilia, normal gallbladder, adhesion with fistulous track between posterior duodenum and pancreatic head) allow diagnosis of CDF, and differentiation from usual gallstone-related biliary fistulas requiring surgery. Conversely, ulcer-related CDF are effectively treated medically, whereas surgery is reserved for poorly controlled symptoms or major complications. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3665068/ /pubmed/23723630 http://dx.doi.org/10.4103/0974-2700.110814 Text en Copyright: © Journal of Emergencies, Trauma, and Shock http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Images In Medicine
Tonolini, Massimo
Spontaneous pneumobilia revealing choledocho-duodenal fistula: A rare complication of peptic ulcer disease
title Spontaneous pneumobilia revealing choledocho-duodenal fistula: A rare complication of peptic ulcer disease
title_full Spontaneous pneumobilia revealing choledocho-duodenal fistula: A rare complication of peptic ulcer disease
title_fullStr Spontaneous pneumobilia revealing choledocho-duodenal fistula: A rare complication of peptic ulcer disease
title_full_unstemmed Spontaneous pneumobilia revealing choledocho-duodenal fistula: A rare complication of peptic ulcer disease
title_short Spontaneous pneumobilia revealing choledocho-duodenal fistula: A rare complication of peptic ulcer disease
title_sort spontaneous pneumobilia revealing choledocho-duodenal fistula: a rare complication of peptic ulcer disease
topic Images In Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665068/
https://www.ncbi.nlm.nih.gov/pubmed/23723630
http://dx.doi.org/10.4103/0974-2700.110814
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