[Congenital tracheobiliary fistula]. / Kongenit trakeobiliaer fistel.

A case of congenital bronchobiliary fistula in a three-year old girl is reported. The patient was born after 40 weeks of gestation and referred due to a long history of respiratory tract problems. Bronchoscopy disclosed a third opening at the level of the carina. The opening was cannulated with an X-ray positive catheter, and a fistula crossing the diaphragm and communicating with the left hepatic duct was found. Cholescintigraphic examination (HIDA-scanning) confirmed the presence of the fistula, but found no evidence of abnormalities in the rest of the biliary system. The thoracic portion of the fistula was excised through a right side thoracotomy. The postoperative course was uncomplicated. HIDA-scanning one month after the operation showed normal uptake, and the girl's symptoms had disappeared.

[Duodenal cancer--illustrated by 5 cases, with special consideration to symptomatology, diagnosis and treatment]. / Cancer duodeni--belyst ved fem sygehistorier, specielt med henblik på symptomatologi, diagnostik og behandling.

Over a period of 30 months we have seen five patients with duodenal cancer (four adenocarcinomas and one carcinoid-tumour). All patients are presented with a brief history of vague and non-specific symptoms. Diagnosis was established by endoscopy and biopsies. In one case, a Whipple's procedure was performed, and the patient is without evidence of tumour recurrence eight months later. Three patients could only be offered palliative surgery, of these, one is still alive two years after the operation, one (the patient with a carcinoid tumour) died three months postoperatively, and the third has only just recently been operated. The fifth patient died ten days after the diagnosis was confirmed, without any specific treatment. The different diagnostic methods available as well as the treatment and prognosis of duodenal cancer are discussed. We conclude that: 1) despite improved diagnostic procedures, the diagnosis of duodenal cancer is still difficult and delayed due to vague and non-specific symptoms, 2) the diagnostic procedure is endoscopy and biopsy. 3) the treatment is surgery and 4) the prognosis is poor in the majority of patients.