A Rare Presentation of Choledochoduodenal Fistula Due to Ovarian Cancer Metastasis

Deeksha Misra; Usman Mirza; Anusha Vakiti; Sandeep Anand Padala

doi:10.1177/2324709620934680

A Rare Presentation of Choledochoduodenal Fistula Due to Ovarian Cancer Metastasis

Deeksha Misra, Usman Mirza, Anusha Vakiti, Sandeep Anand Padala

Nephrology

Research output: Contribution to journal › Article › peer-review

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.

Original language	English (US)
Journal	Journal of Investigative Medicine High Impact Case Reports
Volume	8
DOIs	https://doi.org/10.1177/2324709620934680
State	Published - 2020

Keywords

CDF
carboplatin/taxol
choledochoduodenal fistula
duodenal major papilla
duodenal ulcer
metastatic ovarian cancer
pneumobilia

ASJC Scopus subject areas

Epidemiology
Safety, Risk, Reliability and Quality
Safety Research

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title = "A Rare Presentation of Choledochoduodenal Fistula Due to Ovarian Cancer Metastasis",

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.",

keywords = "CDF, carboplatin/taxol, choledochoduodenal fistula, duodenal major papilla, duodenal ulcer, metastatic ovarian cancer, pneumobilia",

author = "Deeksha Misra and Usman Mirza and Anusha Vakiti and Padala, {Sandeep Anand}",

note = "Publisher Copyright: {\textcopyright} 2020 American Federation for Medical Research.",

year = "2020",

doi = "10.1177/2324709620934680",

language = "English (US)",

volume = "8",

journal = "Journal of Investigative Medicine High Impact Case Reports",

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AU - Misra, Deeksha

AU - Mirza, Usman

AU - Vakiti, Anusha

AU - Padala, Sandeep Anand

PY - 2020

Y1 - 2020

N2 - 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.

AB - 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.

KW - CDF

KW - carboplatin/taxol

KW - choledochoduodenal fistula

KW - duodenal major papilla

KW - duodenal ulcer

KW - metastatic ovarian cancer

KW - pneumobilia

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A Rare Presentation of Choledochoduodenal Fistula Due to Ovarian Cancer Metastasis

Abstract

Keywords

ASJC Scopus subject areas

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