Korean J Gastroenterol.  2008 May;51(5):314-318.

A Case of Choledochoduodenal Fistula as a Delayed Complication after Biliary Metallic Stent Placement in Distal Cholangiocarcinoma

• Moon SK
• Cheung DY
• Kim JH
• Im EJ
• Ha JH
• Kim JI
• Park SH
• Kim JK

Abstract

Biliary drainage in patients with malignant biliary obstruction relieves jaundice and prevents the development of cholangitis or hepatic failure from biliary obstruction. Therefore, this may result in better quality of life along with survival prolongation. Biliary stent placement is an effective and safe measure for biliary decompression and is preferred than bypass surgery in high risk patients. Entero-biliary perforation-communication is one of the rare complications of biliary stent. We herein report a case of duodeno-biliary perforation-communication in patient with distal cholangiocarcinoma who presented with duodenal ulcer and obstruction, occurring 4 years later from the metallic biliary stent insertion. Patient was managed with a pyloric metal stent and conservative care.

Keyword

Cholangiocarcinoma; Metallic stent; Perforation; Fistula

MeSH Terms

Aged, 80 and over
Bile Duct Neoplasms/complications/*diagnosis
Bile Ducts, Intrahepatic/pathology
Biliary Fistula/*diagnosis/etiology/pathology
Cholangiocarcinoma/complications/*diagnosis
Duodenal Diseases/*diagnosis/etiology/pathology
Female
Humans
Intestinal Fistula/*diagnosis/etiology/pathology
Stents/*adverse effects
Tomography, X-Ray Computed