TY - JOUR
T1 - A Rare Presentation of Choledochoduodenal Fistula Due to Ovarian Cancer Metastasis
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 - carboplatin/taxol
KW - CDF
KW - choledochoduodenal fistula
KW - duodenal major papilla
KW - duodenal ulcer
KW - metastatic ovarian cancer
KW - pneumobilia
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U2 - 10.1177/2324709620934680
DO - 10.1177/2324709620934680
M3 - Article
C2 - 32539554
AN - SCOPUS:85086588832
VL - 8
JO - Journal of Investigative Medicine High Impact Case Reports
JF - Journal of Investigative Medicine High Impact Case Reports
SN - 2324-7096
ER -