Publication:
Spontaneous hepaticoduodenal and choledochoduodenal fistula mimicking duodenal ulcer perforation, a very rare complication of transarterial chemoembolization

Issued Date

2015-01-01

Resource Type

Article

ISSN

16620631

DOI

10.1159/000369248

Other identifier(s)

2-s2.0-84929465699

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

Case Reports in Gastroenterology. Vol.9, No.1 (2015), 68-73

Suggested Citation

Varayu Prachayakul, Pitulak Aswakul Spontaneous hepaticoduodenal and choledochoduodenal fistula mimicking duodenal ulcer perforation, a very rare complication of transarterial chemoembolization. Case Reports in Gastroenterology. Vol.9, No.1 (2015), 68-73. doi:10.1159/000369248 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/36688

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Title

Spontaneous hepaticoduodenal and choledochoduodenal fistula mimicking duodenal ulcer perforation, a very rare complication of transarterial chemoembolization

Author(s)

Varayu Prachayakul
 Pitulak Aswakul

Other Contributor(s)

Mahidol University
 Samitivej Hospital (Sukhumvit)

Abstract

© 2015 S. Karger AG, Basel. Spontaneous bilo-enteric fistula is a rare complication following surgery or some therapeutic interventions such as transarterial chemoembolization (TACE). The present case was a young man, a known case of chronic hepatitis B with multiple recurrent hepatocellular carcinoma, who presented with clinical sepsis and jaundice. Computed tomography showed dilated proximal left intrahepatic ducts which suspected anastomotic stricture. He underwent endoscopic retrograde cholangiopancreatography, but the endoscopic view showed a deep ulcer covered by yellowish debris tissue. After re-evaluation it was found to be hepaticoduodenostomy and choledochoduodenostomy tracts. In the present case the fistula was suspected to be related to a previous TACE procedure.

Keyword(s)

Medicine

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URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/36688

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Scopus 2011-2015