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Choledochoduodenal Fistula Secondary to Peptic Ulcer Disease: A Case Report

Challenging differential diagnosis, Rare co-existance of disease or pathology

Antoine Kachi, Mouhammad Kanj, Charif Khaled, Chady Nassar, Charbel Bou Rached, Alaa Kansoun

Department of General Surgery, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon

Am J Case Rep 2019; 20:398-401

DOI: 10.12659/AJCR.915600

Available online:

Published: 2019-03-27

BACKGROUND: Choledochoduodenal fistula is an uncommon complication secondary to peptic ulcer disease. Determining this diagnosis is challenging especially when confronted with unspecific physical and radiological findings.
CASE REPORT: Here we report a case of a 29-year-old Ethiopian female who presented to Geitaoui University Hospital in Beirut, Lebanon with epigastric pain and was diagnosed to have of choledochoduodenal fistula.
CONCLUSIONS: Choledochoduodenal fistula is a rare complication of duodenal ulcer and this case report may help clinicians to identify suspected cases of this entity with similar presentations.

Keywords: Biliary Fistula, Intestinal Fistula, Peptic Ulcer