A Rare Presentation of Choledochoduodenal Fistula Due to Ovarian Cancer Metastasis.

Journal of Investigative Medicine High Impact Case Reports
Deeksha MisraSandeep Anand Padala

Abstract

Choledochoduodenal fistula (CDF) is an abnormal communication between the common bile duct and the duodenum. It accounts for about 5% to 25% of the total biliary fistulas and is usually due to a perforated duodenal ulcer, choledocholithiasis, and complications secondary to tuberculosis or could be iatrogenic. Primary intrabilliary tumors usually cause obstructive jaundice and rarely biliary metastasis arising from other organs like colon, breast, and lungs can cause obstructive jaundice. There has been a case report of metastasis from ovarian cancer to the major papilla of the duodenum but no reported cases of it causing a CDF. We report a rare case of an 83-year-old female with ovarian cancer who developed a metastatic lesion to the duodenum eventually resulting in a CDF.

References

Apr 9, 2008·American Journal of Obstetrics and Gynecology·Steven C Plaxe
Feb 16, 2012·Journal of Medical Case Reports·Elham Dadzan, Hossein Akhondi
Jul 18, 2014·World Journal of Gastrointestinal Endoscopy·Man Yong HongSeung Goun Hong
Mar 10, 2016·ACG Case Reports Journal·Andrew AntonyPatrick Saitta
Dec 7, 2016·Radiology Case Reports·Shane KnippingRoozbeh Houshyar
Aug 10, 2018·Clinical Medicine Insights. Case Reports·Yusuke TakasakiHiroshi Hojo

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biopsies
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