Korean J Gastrointest Endosc.
2007 Jul;35(1):38-41.
A Case of Choledochoduodenal Fistula due to Duodenal Ulcer
- Affiliations
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- 1Department of Internal Medicine, Chonbuk National University College of Medicine, Jeonju, Korea. clickm@chonbuk.ac.kr
Abstract
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Spontaneous internal biliary fistulas are not an uncommon complication of primary biliary disease. Almost 90% of the abnormal biliary-enteric communications between the gallbladder and the duodenum are caused by perforation via gallstones into an otherwise normal duodenum. However, biliary-enteric communications that are caused by primary duodenal ulcer disease are much less common. We experienced a case of duodenal peptic ulcer disease that perforated into the common bile duct in a 45-year-old woman.