A Rare Presentation of Choledochoduodenal Fistula Due to Ovarian Cancer Metastasis

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

Research output: Contribution to journalArticlepeer-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 languageEnglish (US)
JournalJournal of Investigative Medicine High Impact Case Reports
Volume8
DOIs
StatePublished - 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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