Spontaneous Choledochoduodenal Fistula after Metallic Biliary Stent Placement in a Patient with Ampulla of Vater Carcinoma
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초록
Biliary stent-related enteric perforations are very rare complications that are caused by the sharp end of a metallic stent, stent migration, or tumor invasion. Moreover, the choledochoduodenal fistula resulting from metallic biliary stent-induced perforation is extremely rare. Here, we report a case in which a spontaneous choledochoduodenal fistula occurred after biliary metallic stent placement in a patient with an Ampulla of Vater carcinoma but was successfully managed by supportive treatments, including nasobiliary drainage. This case might have occurred as the result of a rupture of the bile duct following pressure necrosis and inflammation caused by impacted calculi and food materials over the tumor ingrowth in the uncovered biliary stent.
Abstract
Biliary stent-related enteric perforations are very rare complications that are caused by the sharp end of a metallic stent, stent migration, or tumor invasion. Moreover, the choledochoduodenal fistula resulting from metallic biliary stent-induced perforation is extremely rare. Here, we report a case in which a spontaneous choledochoduodenal fistula occurred after biliary metallic stent placement in a patient with an Ampulla of Vater carcinoma but was successfully managed by supportive treatments, including nasobiliary drainage. This case might have occurred as the result of a rupture of the bile duct following pressure necrosis and inflammation caused by impacted calculi and food materials over the tumor ingrowth in the uncovered biliary stent.
참고문헌 (13)
- Humar A, "Pancreatitis and duodenal perforation as complications of an endoscopically placed biliary stent", Gastrointest Endosc, 40, pp.365~366 (1994)
- Saranga Bharathi R, "Iatrogenic duodenal perforations caused by endoscopic biliary stenting and stent migration: an update", Endoscopy, 38, pp.1271~1274 (2006)
- Lee TH, "Aortoduodenal fistula and aortic aneurysm secondary to biliary stent-induced retroperitoneal perforation", World J Gastroenterol, 14, pp.3095~3097 (2008)
- Ji JS, "Periampullary choledochoduodenal fistula associated with ampulla of Vater carcinoma", Dig Dis Sci, 52, pp.1592~1593 (2007)
- Yamashita H, "The internal biliary fistula--reappraisal of incidence, type, diagnosis and management of 33 consecutive cases", HPB Surg, 10, pp.143~147 (1997)
- Ticehurst FM, "Spontaneous perforation of the bile duct", HPB, 3, pp.285~287 (2001)
- Zwemer FL, "Biliary enteric fistulas. in: Management of 47 cases in native Americans", Am J Surg, 138, pp.301~304 (1979)
- Feller ER, "Observations on management of choledochoduodenal fistula due to penetrating peptic ulcer", Gastroenterology, 78, pp.126~131 (1980)
- Griffith CD, "Cholecystoduodenocolic fistula following abdominal trauma", Br J Surg, 69, pp.99~100 (1982)
- Jorge A, "Choledochoduodenal fistulas", Endoscopy, 23, pp.76~78 (1991)
- Michowitz M, "Choledochoduodenal fistula: a rare complication of duodenal ulcer", Am J Gastroenterol, 79, pp.416~420 (1984)
- Tanaka M, "Parapapillary choledochoduodenal fis tula: an analysis of 83 consecutive patients diagnosed at ERCP", Gastrointest Endosc, 29, pp.89~93 (1983)
- Velez M, "Laparoscopic repair of a cholecystoduodenal fistula", Surg Endosc, 5, pp.221~223 (1991)