Choledochoduodenal fistula

H. Delsa; S. Darhoua; M. Ghayate; S. Y. Benhayoun; N. Faquir; H. Fadili; N. Bouknani; F. Merzouk

doi:10.1055/s-0043-1765798

Endoscopy, Table of Contents

Endoscopy 2023; 55(S 02): S288
DOI: 10.1055/s-0043-1765798

Abstracts | ESGE Days 2023

ePoster

Choledochoduodenal fistula

Authors

H. Delsa

¹Gastroenterology,Cheikh Khalifa Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco
S. Darhoua

¹Gastroenterology,Cheikh Khalifa Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco
M. Ghayate

²Cardiology, Cheikh Khalifa Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco
S. Y. Benhayoun

¹Gastroenterology,Cheikh Khalifa Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco
N. Faquir

¹Gastroenterology,Cheikh Khalifa Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco
H. Fadili

¹Gastroenterology,Cheikh Khalifa Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco
N. Bouknani

³Radiology,Cheikh Khalifa Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco
F. Merzouk

²Cardiology, Cheikh Khalifa Hospital, Mohammed VI University of Health Sciences, Casablanca, Morocco

Abstract

Full Text

Abstract Text This video presents the case of an 81-year-old man, with a medical history of Hepatitis C cirrhosis, chronic kidney failure, ischemic cardiomyopathy, and atrial fibrillation on anticoagulation. He had undergone cholecystectomy 15 years ago. We admitted the patient to our hospital for severe epigastric pain, vomiting, and heartburn. Ct scan showed multiple suspicious hepatic nodules, ascites and pneumobilia with thickening of the cardia. Gastroscopy showed gastritis with significant bile reflux, at the duodenal bulb, we visualized a large bulbar orifice with 2 structures evoking the biliary tree, related to choledochoduodenal fistula (video).