Korean Journal of Gastrointestinal Endoscopy 2007;35(1): 38-41.
십이지장 궤양으로 인한 총담관-십이지장 누공 1예
정혜진·김성훈·신경덕·김인희·김상욱·이승옥·이수택·김대곤
전북대학교 의과대학 내과학교실
A Case of Choledochoduodenal Fistula due to Duodenal Ulcer
Hey Jin Jeong, M.D., Seong Hun Kim, M.D., Kyoung Deok Shin, M.D., In Hee Kim, M.D., Sang Wook Kim, M.D., Seung Ok Lee, M.D., Soo Teik Lee, M.D. and Dae Ghon Kim, M.D.
Department of Internal Medicine, Chonbuk National University College of Medicine, Jeonju, Korea
Abstract
Spontaneous internal biliary fistulas are not an uncommon complication of primary biliary disease. Almost 90% of the abnormal biliary-enteric communications between the gallbladder and the duodenum are caused by perforation via gallstones into an otherwise normal duodenum. However, biliary-enteric communications that are caused by primary duodenal ulcer disease are much less common. We experienced a case of duodenal peptic ulcer disease that perforated into the common bile duct in a 45-year-old woman.
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