Yeungnam Univ J Med.  2013 Jun;30(1):39-42.

A Case of Recurrent Liver Abscess Due to Choledochoduodenal Fistula

• Hur JH
• Choi ST
• Sohn MS
• Lee JE
• Chung IH
• Ki SH

Abstract

Cholelithiasis, duodenal ulcer, duodenal perforation and tumor invasion may lead to choledochoduodenal fistula (CDF). CDF often has no specific symptoms and may be incidentally detected in an upper gastrointestinal radiographic study or endoscopy; but in some cases, it may be accompanied by recurrent cholangitis and liver abscess. In this paper, a case of recurrent liver abscess caused by CDF is reported. A 62-year-old female was admitted to the authors' hospital because of right upper quadrant pain and fever. The abdominal computed tomography showed a liver abscess in the right lobe. A duodenal fistulous orifice was detected with endoscopy, and a contrast was injected through the duodenal orifice using a catheter under fluoroscopy. The injection of the contrast revealed a fistulous track between the duodenal bulb and the common hepatic duct. In fistulas complicated by recurrent liver abscess, surgery or medical management may be needed. The CDF in this case study was treated via endoscopic clipping.

Keyword

Fistula; Liver abscess; Cholelithiasis

MeSH Terms

Catheters
Cholangitis
Cholelithiasis
Duodenal Ulcer
Endoscopy
Female
Fever
Fistula
Fluoroscopy
Hepatic Duct, Common
Humans
Liver
Liver Abscess
Track and Field