Choledochoduodenal fistula complicating chronic duodenal ulcer in Nigerians.
نویسندگان
چکیده
Peptic ulceration was thought to be rare in Nigerians until the 1930s when Aitken (1933) and Rose (1935) reported on this condition. Chronic duodenal ulcers, in particular, are being reported with increasing frequency (Ellis, 1948; Konstam, 1959). The symptoms and complications of duodenal ulcers in Nigerians are the same as elsewhere, but the relative incidence of these complications differs markedly. Pyloric stenosis is the commonest complication followed by haematemesis and malaena in that order (Antia and Solanke, 1967; Solanke and Lewis, 1968). Perforation though present is not very common. A remarkable complication found in some of our patients with duodenal ulcer who present themselves for radiological examination is the formation of a fistulous communication between the duodenum and the biliary system. This finding has prompted evaluation of these cases in order to compare them with reports of similar findings in the American and the European literature.
منابع مشابه
Successful Endoscopic Treatment of Bouveret Syndrome in a Patient with Choledochoduodenal Fistula Complicating Duodenal Ulcer
INTRODUCTION Cholecystoduodenal fistulas represent the most common type of bilioenteric fistulas while choledochoduodenal fistulas account for only 1-25% of cases. Bilioenteric fistula cases are associated with cholelithiasis and are rarely associated with duodenal peptic ulcers. Here we present the first case of Bouveret syndrome secondary to choledochoduodenal fistula complicating peptic duod...
متن کاملA case of choledochoduodenal fistula – an unusual case report
Choledochoduodenal fistula (CDF) is an abnormal communication between the choledochus and the duodenum, accounts for 5-25% of all internal biliary fistulas. Here, we report a case of CDF secondary to chronic duodenal ulcer who presented with cholangitis. CDF is suspected in case of pneumobilia, and surgery is recommended for refractory cases.
متن کاملCholedochoduodenal fistula: an unusual complication of penetrated duodenal ulcer disease
Spontaneous choledochoduodenal fistula in the absence of primary biliary disease is a very unusual complication of duodenal ulcer disease. In most cases it is diagnosed incidentally, because it seldom gives clinical manifestations. Although surgical approaches have been the treatment of choice in the past, the use of modern antisecretory drugs turns now management strategy to more controversial...
متن کاملA Case of an Unheard Trio of Complications of Chronic Duodenal Ulcer from Gastric Outlet Obstruction, Choledochoduodenal Fistula and Common Bile Duct Stricture
متن کامل
Spontaneous choledochoduodenal fistula secondary to long-standing ulcer disease.
There are several varieties of bilioenteric fistulae. They are usually incidental findings, but once detected, various modalities can then be employed to further delineate the fistula. The fistulae usually arise as a complication of chronic duodenal ulcer disease, cholelithiasis or previous instrumentation to the biliary system. The presence of a fistula per se does not immediately equate to ne...
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ورودعنوان ژورنال:
- Gut
دوره 10 2 شماره
صفحات -
تاریخ انتشار 1969