Spontaneous Choledochoduodenal Fistula after Metallic Biliary Stent Placement in a Patient with Ampulla of Vater Carcinoma
Gut and Liver
; : 360-363, 2009.
Article
de En
| WPRIM
| ID: wpr-86746
Bibliothèque responsable:
WPRO
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.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Rupture
/
Ampoule hépatopancréatique
/
Conduits biliaires
/
Calculs
/
Endoprothèses
/
Drainage
/
Fistule
/
Inflammation
/
Nécrose
Limites du sujet:
Humans
langue:
En
Texte intégral:
Gut and Liver
Année:
2009
Type:
Article