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Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment

Peptic ulcer complication has decreased over le last years. Spontaneous bilio-digestive fistulas, in the absence of primary biliary disease, remain a very unusual complication of the upper digestive tract. The choledochoduodenal fistula is an extremely rare entity which can be caused by a duodenal p...

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Autores principales: Chaouch, Mohamed Ali, Nacef, Karim, Ghannouchi, Mossab, Khalifa, Mohamed Ben, Chaouch, Asma, Abdelkafi, Molk, Jerbi, Saida, Boudokhane, Moez
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057557/
https://www.ncbi.nlm.nih.gov/pubmed/30050641
http://dx.doi.org/10.11604/pamj.2018.29.177.15043
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author Chaouch, Mohamed Ali
Nacef, Karim
Ghannouchi, Mossab
Khalifa, Mohamed Ben
Chaouch, Asma
Abdelkafi, Molk
Jerbi, Saida
Boudokhane, Moez
author_facet Chaouch, Mohamed Ali
Nacef, Karim
Ghannouchi, Mossab
Khalifa, Mohamed Ben
Chaouch, Asma
Abdelkafi, Molk
Jerbi, Saida
Boudokhane, Moez
author_sort Chaouch, Mohamed Ali
collection PubMed
description Peptic ulcer complication has decreased over le last years. Spontaneous bilio-digestive fistulas, in the absence of primary biliary disease, remain a very unusual complication of the upper digestive tract. The choledochoduodenal fistula is an extremely rare entity which can be caused by a duodenal peptic ulcer. It appears with the symptoms of peptic ulcer disease. They are diagnosed incidentally on radiological exams. It was suspected after finding pneumobilia on abdominal ultrasound and confirmed by X-barium meals study. The purpose of this observation is to report the case of a patient presenting a choledochoduodenal fistula diagnosed by X-barium meal to underline the importance of this radiological exam to diagnose this disease and to insist on the conservative treatment for choledochoduodenal fistula caused by a duodenal peptic ulcer. The prognosis of patients treated medically is good, although the fistula can remain asymptomatic. Angiocholitis and biliary sequelae remain rare and do not warrant prophylactic surgical treatment.
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spelling pubmed-60575572018-07-26 Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment Chaouch, Mohamed Ali Nacef, Karim Ghannouchi, Mossab Khalifa, Mohamed Ben Chaouch, Asma Abdelkafi, Molk Jerbi, Saida Boudokhane, Moez Pan Afr Med J Case Report Peptic ulcer complication has decreased over le last years. Spontaneous bilio-digestive fistulas, in the absence of primary biliary disease, remain a very unusual complication of the upper digestive tract. The choledochoduodenal fistula is an extremely rare entity which can be caused by a duodenal peptic ulcer. It appears with the symptoms of peptic ulcer disease. They are diagnosed incidentally on radiological exams. It was suspected after finding pneumobilia on abdominal ultrasound and confirmed by X-barium meals study. The purpose of this observation is to report the case of a patient presenting a choledochoduodenal fistula diagnosed by X-barium meal to underline the importance of this radiological exam to diagnose this disease and to insist on the conservative treatment for choledochoduodenal fistula caused by a duodenal peptic ulcer. The prognosis of patients treated medically is good, although the fistula can remain asymptomatic. Angiocholitis and biliary sequelae remain rare and do not warrant prophylactic surgical treatment. The African Field Epidemiology Network 2018-03-26 /pmc/articles/PMC6057557/ /pubmed/30050641 http://dx.doi.org/10.11604/pamj.2018.29.177.15043 Text en © Mohamed Ali Chaouch et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Chaouch, Mohamed Ali
Nacef, Karim
Ghannouchi, Mossab
Khalifa, Mohamed Ben
Chaouch, Asma
Abdelkafi, Molk
Jerbi, Saida
Boudokhane, Moez
Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment
title Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment
title_full Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment
title_fullStr Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment
title_full_unstemmed Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment
title_short Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by X-barium meal study: interest of medical treatment
title_sort choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by x-barium meal study: interest of medical treatment
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057557/
https://www.ncbi.nlm.nih.gov/pubmed/30050641
http://dx.doi.org/10.11604/pamj.2018.29.177.15043
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