Cholangitis Secondary to Food Material Impaction in the Common Bile Duct through a Choledochoduodenal Fistula

• Published in: Clinical endoscopy Vol. 48; no. 3; pp. 265 - 267
• Main Authors: Kang, Bong-Koo, Park, Sung Min, Kim, Byung-Wook, Kim, Joon Sung, Kim, Ji Hee, Ji, Jeong-Seon, Choi, Hwang
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Gastrointestinal Endoscopy 01.05.2015; 대한소화기내시경학회
• Subjects: Case Report; 내과학; Biliary fistula; Duodenal ulcer; Cholangitis
• ISSN: 2234-2400; 2234-2443
• DOI: 10.5946/ce.2015.48.3.265

Biliary-enteric communications caused by duodenal ulcers are uncommon, and choledochoduodenal fistula (CDF) is by far the most common type. Usually in this situation, food material does not enter the common bile duct because the duodenal lumen is intact. Here, we report a case in which cholangitis occurred due to food materials impacted through a CDF. Duodenal obstruction secondary to duodenal ulcer prevented food passage into the duodenum in this case. Surgical management was recommended; however, the patient refused surgery because of poor general condition. Consequently, the patient expired with sepsis secondary to ascending cholangitis.