Concurrent cholecystoduodenal fistula and primary aortoenteric fistula - PubMed
- ️Fri Jan 01 2021
Case Reports
. 2021 Oct 26;2021(10):omab102.
doi: 10.1093/omcr/omab102. eCollection 2021 Oct.
Affiliations
- PMID: 34729200
- PMCID: PMC8557450
- DOI: 10.1093/omcr/omab102
Case Reports
Concurrent cholecystoduodenal fistula and primary aortoenteric fistula
Mohammadali Zad et al. Oxf Med Case Reports. 2021.
Abstract
Bilioenteric fistulae are a rare complication and can pose a diagnostic challenge owing to non-specific symptomology. When occurring with an aortoenteric fistula, it represents a rare and potentially life-threatening disease state. We present the case of a 77-year-old gentleman initially treated as presumed ascending cholangitis. This was complicated by upper gastrointestinal bleeding secondary to an aortoenteric fistula and cholecystoduodenal fistula.
© The Author(s) 2021. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
Figures
CT showing pneumobillia.
CT showing marked increase in infra-renal AAA size 2 weeks apart—left (previous), right (latter).
Endoscopy showing small aortoenteric fistula in D2.
Endoscopy showing potential fistula in lateral wall of D2/D3, with clot sitting atop.
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