Subscribe to RSS
Download PDF
DOI: 10.1055/s-0045-1808079
Spontaneous Pyogenic Choledochal Fistula
Authors
Funding None.
Abstract
Spontaneous internal biliary fistulas (IBFs) are quite uncommon (<1%). These fistulas can develop between the gallbladder and bile duct with an internal organ, cavity, or a free surface. IBF is associated with chronic cholelithiasis in 90% of the cases. We report a rare case of choledochal fistula with an intra-abdominal abscess in a patient with chronic pancreatitis and diabetes mellitus, which were successfully managed with combined procedures of endoscopic retrograde cholangiopancreatography biliary stenting and ultrasound-guided drainage of the abscess.
Ethical Statement
Not applicable.
Authors' Contributions
All authors contributed equally to the article.
Data Availability Statement
There are no data associated with this work.
Consent
Informed consent was obtained for this case report.
Publication History
Received: 11 February 2025
Accepted: 18 March 2025
Article published online:
22 May 2025
© 2025. Gastroinstestinal Infection Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Safaie-Shirazi S, Zike WL, Printen KJ. Spontaneous enterobiliary fistulas. Surg Gynecol Obstet 1973; 137 (05) 769-772
- 2 Duzgun AP, Ozmen MM, Ozer MV, Coskun F. Internal biliary fistula due to cholelithiasis: a single-centre experience. World J Gastroenterol 2007; 13 (34) 4606-4609
- 3 Gustavo N, Alesio L, Lorna RT, Eugenia E, Flavia L. Pancreatic pseudocyst with fistula to the dilated common bile duct: mimmicking choledocal cyst?. Ann Hepatobiliary Pancreat Surg 2021; 25 (01) 155-159
- 4 Pickhardt PJ, Friedland JA, Hruza DS, Fisher AJ. Case report. CT, MR cholangiopancreatography, and endoscopy findings in Bouveret's syndrome. AJR Am J Roentgenol 2003; 180 (04) 1033-1035
- 5 Sapuła R, Skibiński W. Gallstone ileus as a complication of cholecystolithiasis. Surg Endosc 2002; 16 (02) 360
- 6 Sankaran S, Walt AJ. The natural and unnatural history of pancreatic pseudocysts. Br J Surg 1975; 62 (01) 37-44
- 7 Al Ali JA, Chung H, Munk PL, Byrne MF. Pancreatic pseudocyst with fistula to the common bile duct resolved by combined biliary and pancreatic stenting: a case report and literature review. Can J Gastroenterol 2009; 23 (08) 557-559
- 8 Dhanawat A, Gupta P, Mohanty L, Maheshwari G. Intra-abdominal abscesses by Burkholderia cepacia in poorly controlled diabetes mellitus: a case series. J Clin Diagn Res 2020; 14 (11) OR01-OR04