Pneumobilia Resulting From Choledochoduodenal Fistula Secondary to Metastatic Colon Adenocarcinoma
| Autor: | Demetrios Tzimas, Andrew Antony, Patrick Saitta, Scott Kramer |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Gastrointestinal bleeding
medicine.medical_specialty medicine.diagnostic_test business.industry Fistula Biliary 030208 emergency & critical care medicine Case Report General Medicine Disease Gallstones Pneumobilia medicine.disease Endoscopy 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis medicine Etiology Radiology Differential diagnosis business |
| Zdroj: | ACG Case Reports Journal |
| ISSN: | 2326-3253 |
| Popis: | Pneumobilia, or air within the biliary tree, is a poor prognostic indicator in a patient without prior biliary sphincterotomy. Differential diagnosis includes infection with gas-forming organisms, choledochoenteric fistula in the setting of gallstones or penetrating ulcer disease, malignant invasion from a primary liver or biliary tract tumor, or metastatic disease. Treatment depends on etiology and patient factors, but often requires surgical intervention. We report a patient with gastrointestinal bleeding in whom pneumobilia was incidentally noted on abdominal plain film. Computed tomography and endoscopy revealed the biliary-enteric fistula to be caused by metastatic colon adenocarcinoma invading the biliary tree. |
| Databáze: | OpenAIRE |
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