Choledocho-duodenal fistula encountered during emergency laparotomy for upper gastro-intestinal haemorrhage: What should be the surgical strategy?

N. Periselneris, J. J. Bong

    Research output: Contribution to journalArticle

    1 Citation (Scopus)

    Abstract

    Surgery remains the gold standard for the treatment of bleeding peptic ulcer after failed endoscopic therapy. It is unusual to encounter a bilio-enteric fistula complicating peptic ulcer disease during the emergency surgery for bleeding. We report a case of a 67-year-old man who presented with haemetemesis and hypotension. After failed endoscopy, a laparotomy was performed. A choledocho-duodenal fistula and a Forrest IIA ulcer was encountered. The bleeding ulcer was underrun and a subtotal cholecystectomy was performed. To the best of our knowledge, this complication has never been reported in the literature. We herein report such a case and discuss its management.

    Original languageEnglish
    Pages (from-to)547-548
    Number of pages2
    JournalClinica Terapeutica
    Volume162
    Issue number6
    Publication statusPublished - 2011

    Fingerprint

    Laparotomy
    Fistula
    Emergencies
    Hemorrhage
    Peptic Ulcer
    Ulcer
    Cholecystectomy
    Hypotension
    Endoscopy
    Therapeutics

    Keywords

    • Choledocho-duodenal fistulae
    • Duodenal ulcer
    • Emergency laparotomy
    • Haemorrhage

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    Choledocho-duodenal fistula encountered during emergency laparotomy for upper gastro-intestinal haemorrhage : What should be the surgical strategy? / Periselneris, N.; Bong, J. J.

    In: Clinica Terapeutica, Vol. 162, No. 6, 2011, p. 547-548.

    Research output: Contribution to journalArticle

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