Spontaneous Choledochoduodenal Fistula after Metallic Biliary Stent Placement in a Patient with Ampulla of Vater Carcinoma
- Abstract
- Biliary stent-related enteric perforations are very rare complications that are caused by the sharp end of a metallic stent, stent migration, or tumor invasion. Moreover, the choledochoduodenal fistula resulting from metallic biliary stent-induced perforation is extremely rare. Here, we report a case in which a spontaneous choledochoduodenal fistula occurred after biliary metallic stent placement in a patient with an Ampulla of Vater carcinoma but was successfully managed by supportive treatments, including nasobiliary drainage. This case might have occurred as the result of a rupture of the bile duct following pressure necrosis and inflammation caused by impacted calculi and food materials over the tumor ingrowth in the uncovered biliary stent. (Gut and Liver 2009;3:360-363)
- All Author(s)
- T. H. Lee
; S. H. Park
; S. P. Kim
; S. H. Lee
; C. K. Lee
; I. K. Chung
; H. S. Kim
; S. J. Kim
- Issued Date
- 2009
- Type
- Article
- Keyword
- Choledochoduodenal fistula; Stents; Ampulla of Vater
- Publisher
- 대한소화기학회
- ISSN
- 1976-2283
- Citation Title
- Gut and Liver
- Citation Volume
- 3
- Citation Number
- 4
- Citation Start Page
- 360
- Citation End Page
- 363
- Language(ISO)
- eng
- DOI
- 10.5009/gnl.2009.3.4.360
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/2828
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