雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Multiple Parapapillary Choledochoduodenal Fistulas, A Report of Five Cases and Etiological Consideration M. Tanaka 1 , S. Ikeda 1 , H. Itoh 1 , F. Nakayama 1 , K. Kuroki 2 1Department of Surgery I, Kyushu University Faculty of Medicine 2Kuroki Hospital pp.691-695
Published Date 1981/6/25
DOI https://doi.org/10.11477/mf.1403108080
  • Abstract
  • Look Inside

 Two choledochoduodenal fistulas can be formed at or near the papilla of Vater. Five such cases, two males and three females, found in our experience with 83 consecutive patients with choledochoduodenal fistula in the parapapillary region are the basis of this report.

 As previously described, choledochoduodenal fistula would be classified into two groups. The ones on the longitudinal fold come under Type Ⅰ; the others at or just orad to the upper margin of the longitudinal fold Type Ⅱ. Multiple choledochoduodenal fistulas in the five patients reported can be expressed as a combination of these two type: Ⅰ+Ⅰ in two cases and Ⅰ+Ⅱ in three. Endoscopic or tube cholangiography showed hepatocholedocholithiasis in one patient, choledocholithiasis without bile duct stone in one, and merely dilatation of the bile duct in one. Reflux of barium into the bile duct was noticed only in one case. A history of biliary colic associated with jaundice and fever was obtained in four of the five patients, one of whom had experienced two such episodes. The other one denied any bout of a jaundice-associated pain. It can thus be conjectured that some fistulas may be formed without interrupting the bile flow. Furthermore, two patients had a past history of a cholecystectomy and common bile duct exploration, at the time of which one or two of their fistulas might possibly be made by a false passage of the metal probe into the duodenum.


Copyright © 1981, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有