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

Autor: N, Periselneris, J J, Bong
Rok vydání: 2012
Předmět:
Zdroj: La Clinica terapeutica. 162(6)
ISSN: 1972-6007
Popis: 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.
Databáze: OpenAIRE