Korean J Gastrointest Endosc.  2007 May;34(5):278-281.

A Case of Choledocho-Duodeno-Colonic Fistula

  • 1Department of Internal Medicine, Inje University College of Medicine, Busan, Korea. ysydr@dreamwiz.com


Biliary-enteric fistula is a rare disease, and the common causes of biliary-enteric fistula are gallstone, peptic ulcer, malignancy and trauma. It is known that the most common type of biliary-enteric fistula is the cholecysto-duodenal fistula, yet the combination of choledocho-duodeno-colonic fistula is a rare finding. A 78-year-old woman was admitted because she had suffered with right upper quadrant pain, a febrile sense and chills for 2 days. We confirmed the choledocho-duodeno-colonic fistula by performing gastroduodenoscopy, abdominal CT and an upper GI series. So, we report here on an usual case of choledocho-duodeno-colonic fistula, along with a review of the relevant literatures.


Biliary fistula; Biliary-enteric fistula; Gall stone
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