Year 2025 / Volume 117 / Number 12
Letter
Upper gastrointestinal bleeding secondary to choledochoduodenal fistula as a presentation of gallbladder adenocarcinoma

771-772

DOI: 10.17235/reed.2024.10752/2024

Julia López de la Cruz,

Abstract
We present the case of a 75-year-old woman who presented to our hospital with upper gastrointestinal bleeding and altered liver function tests. MR cholangiography performed during hospitalization revealed a choledochoduodenal fistula. Gastroscopy confirmed the presence of this fistula, and after surgical correction, an adenocarcinoma at the biliopancreatic junction infiltrating the duodenum was diagnosed. This represents a rare and unusual presentation of biliopancreatic tumors, with endoscopy playing a crucial role in diagnosis.
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References
1. Lin CT, Hsu KF, Yu JC, Chu HC, Hsieh CB, Fu CY, Hong ZJ, Chan DC. Choledochoduodenal fistula caused by cholangiocarcinoma of the distal common bile duct. Endoscopy. 2009;41 Suppl 2:E319-20. doi: 10.1055/s-0029-1215310. Epub 2009 Nov 17. PMID: 19921610.
2. Kuroki T, Fukuda K, Tajima Y, Matsuzaki S, Kitajima T, Furui J, Kanematsu T. Parapapillary choledochoduodenal fistula associated with cholangiocarcinoma. J Hepatobiliary Pancreat Surg. 2005;12(2):143-6. doi: 10.1007/s00534-004-0943-2. PMID: 15868079.
3. Tsai CJ. Primary adenocarcinoma of the duodenum with choledochoduodenal fistula. Scand J Gastroenterol. 1994 Oct;29(10):930-3. doi: 10.3109/00365529409094865. PMID: 7839100.
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López de la Cruz J. Upper gastrointestinal bleeding secondary to choledochoduodenal fistula as a presentation of gallbladder adenocarcinoma. 10752/2024


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Publication history

Received: 29/08/2024

Accepted: 06/09/2024

Online First: 19/09/2024

Published: 12/12/2025

Article Online First time: 21 days

Article editing time: 470 days


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