Cargando…

Pneumobilia Resulting From Choledochoduodenal Fistula Secondary to Metastatic Colon Adenocarcinoma

Pneumobilia, or air within the biliary tree, is a poor prognostic indicator in a patient without prior biliary sphincterotomy. Differential diagnosis includes infection with gas-forming organisms, choledochoenteric fistula in the setting of gallstones or penetrating ulcer disease, malignant invasion...

Descripción completa

Detalles Bibliográficos
Autores principales: Antony, Andrew, Kramer, Scott, Tzimas, Demetrios, Saitta, Patrick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4748199/
https://www.ncbi.nlm.nih.gov/pubmed/26958563
http://dx.doi.org/10.14309/crj.2016.17
_version_ 1782415080599584768
author Antony, Andrew
Kramer, Scott
Tzimas, Demetrios
Saitta, Patrick
author_facet Antony, Andrew
Kramer, Scott
Tzimas, Demetrios
Saitta, Patrick
author_sort Antony, Andrew
collection PubMed
description Pneumobilia, or air within the biliary tree, is a poor prognostic indicator in a patient without prior biliary sphincterotomy. Differential diagnosis includes infection with gas-forming organisms, choledochoenteric fistula in the setting of gallstones or penetrating ulcer disease, malignant invasion from a primary liver or biliary tract tumor, or metastatic disease. Treatment depends on etiology and patient factors, but often requires surgical intervention. We report a patient with gastrointestinal bleeding in whom pneumobilia was incidentally noted on abdominal plain film. Computed tomography and endoscopy revealed the biliary-enteric fistula to be caused by metastatic colon adenocarcinoma invading the biliary tree.
format Online
Article
Text
id pubmed-4748199
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher American College of Gastroenterology
record_format MEDLINE/PubMed
spelling pubmed-47481992016-03-08 Pneumobilia Resulting From Choledochoduodenal Fistula Secondary to Metastatic Colon Adenocarcinoma Antony, Andrew Kramer, Scott Tzimas, Demetrios Saitta, Patrick ACG Case Rep J Case Report Pneumobilia, or air within the biliary tree, is a poor prognostic indicator in a patient without prior biliary sphincterotomy. Differential diagnosis includes infection with gas-forming organisms, choledochoenteric fistula in the setting of gallstones or penetrating ulcer disease, malignant invasion from a primary liver or biliary tract tumor, or metastatic disease. Treatment depends on etiology and patient factors, but often requires surgical intervention. We report a patient with gastrointestinal bleeding in whom pneumobilia was incidentally noted on abdominal plain film. Computed tomography and endoscopy revealed the biliary-enteric fistula to be caused by metastatic colon adenocarcinoma invading the biliary tree. American College of Gastroenterology 2016-01-20 /pmc/articles/PMC4748199/ /pubmed/26958563 http://dx.doi.org/10.14309/crj.2016.17 Text en Copyright © Antony et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
Antony, Andrew
Kramer, Scott
Tzimas, Demetrios
Saitta, Patrick
Pneumobilia Resulting From Choledochoduodenal Fistula Secondary to Metastatic Colon Adenocarcinoma
title Pneumobilia Resulting From Choledochoduodenal Fistula Secondary to Metastatic Colon Adenocarcinoma
title_full Pneumobilia Resulting From Choledochoduodenal Fistula Secondary to Metastatic Colon Adenocarcinoma
title_fullStr Pneumobilia Resulting From Choledochoduodenal Fistula Secondary to Metastatic Colon Adenocarcinoma
title_full_unstemmed Pneumobilia Resulting From Choledochoduodenal Fistula Secondary to Metastatic Colon Adenocarcinoma
title_short Pneumobilia Resulting From Choledochoduodenal Fistula Secondary to Metastatic Colon Adenocarcinoma
title_sort pneumobilia resulting from choledochoduodenal fistula secondary to metastatic colon adenocarcinoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4748199/
https://www.ncbi.nlm.nih.gov/pubmed/26958563
http://dx.doi.org/10.14309/crj.2016.17
work_keys_str_mv AT antonyandrew pneumobiliaresultingfromcholedochoduodenalfistulasecondarytometastaticcolonadenocarcinoma
AT kramerscott pneumobiliaresultingfromcholedochoduodenalfistulasecondarytometastaticcolonadenocarcinoma
AT tzimasdemetrios pneumobiliaresultingfromcholedochoduodenalfistulasecondarytometastaticcolonadenocarcinoma
AT saittapatrick pneumobiliaresultingfromcholedochoduodenalfistulasecondarytometastaticcolonadenocarcinoma