Severe Metabolic Alkalosis due to Choledochoduodenal Fistula

Severe metabolic alkalosis due to choledochoduodenal fistula.

hydrochloric acid and cimetidine to reverse severe metabolic alkalosis

haemophilic child has previously been described (McCarthy and Coble, 1973). The present case emphasizes that, with maintenance of adequate factor VIII levels, surgical intervention for cerebral haemorrhage can be undertaken without haemostatic problems. Although the ultimate prognosis was not affected here, neurosurgery should now be contemplated for this complication. The use of the EMI scan i...

Approach to metabolic alkalosis.

Metabolic alkalosis is a common disorder, accounting for half of all acid-base disturbances in hospitalized patients. It is the result of an increase in bicarbonate production, a decrease in bicarbonate excretion, or a loss of hydrogen ions. Most causes of metabolic alkalosis can be divided into 4 categories: chloride depletion alkalosis, mineralocorticoid excess syndromes, apparent mineralocor...

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 from a primary liver or biliary tract tumor, or metastatic disease. Treatment depends on etiolog...

Spontaneous choledochoduodenal fistula with tuberculous duodenal ulceration

Spontaneous choledochoduodenal fistulas (CDFs) are rare. The most common aetiology is penetrating duodenal ulcers, observed in 80% of cases. Even in areas where acid peptic disease is common, tuberculosis should be considered as a cause, especially in developing countries like India, where tuberculosis is common. The management of CDF due to acid peptic disease is predominantly surgical while h...