Peptic ulcers accompanied with gastrointestinal bleeding, pylorus obstruction and cholangitis secondary to choledochoduodenal fistula: A case report

  • Authors:
    • Bin Xi
    • Jun-Jun Jia
    • Bing-Yi Lin
    • Lei Geng
    • Shu-Sen Zheng
  • View Affiliations

  • Published online on: November 10, 2015     https://doi.org/10.3892/ol.2015.3908
  • Pages: 481-483
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Abstract

Peptic ulcers are an extremely common condition, usually occurring in the stomach and proximal duodenum. However, cases of peptic ulcers accompanied with multiple complications are extremely rare and hard to treat. The present case reinforces the requirement for the early recognition and correct treatment of peptic ulcers accompanied with multiple complications. A 67-year-old man presented with recurrent abdominal pain, fever and melena. The laboratory results showed anemia (hemoglobin 62 g/l) and hypoproteinemia (23 g/l). Abdominal imaging examinations revealed stones in the gallbladder and right liver, with air in the dilated intrahepatic and extrahepatic bile ducts. Endoscopic retrograde cholangiopancreatography failed due to a deformed pylorus. The patient was finally diagnosed with peptic ulcers accompanied with gastrointestinal (GI) bleeding, pylorus obstruction and cholangitis secondary to a choledochoduodenal fistula during an emergency pancreatoduodenectomy, which was performed due to a massive hemorrhage of the GI tract. The patient recovered well after the surgery.
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January-2016
Volume 11 Issue 1

Print ISSN: 1792-1074
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Spandidos Publications style
Xi B, Jia J, Lin B, Geng L and Zheng S: Peptic ulcers accompanied with gastrointestinal bleeding, pylorus obstruction and cholangitis secondary to choledochoduodenal fistula: A case report. Oncol Lett 11: 481-483, 2016
APA
Xi, B., Jia, J., Lin, B., Geng, L., & Zheng, S. (2016). Peptic ulcers accompanied with gastrointestinal bleeding, pylorus obstruction and cholangitis secondary to choledochoduodenal fistula: A case report. Oncology Letters, 11, 481-483. https://doi.org/10.3892/ol.2015.3908
MLA
Xi, B., Jia, J., Lin, B., Geng, L., Zheng, S."Peptic ulcers accompanied with gastrointestinal bleeding, pylorus obstruction and cholangitis secondary to choledochoduodenal fistula: A case report". Oncology Letters 11.1 (2016): 481-483.
Chicago
Xi, B., Jia, J., Lin, B., Geng, L., Zheng, S."Peptic ulcers accompanied with gastrointestinal bleeding, pylorus obstruction and cholangitis secondary to choledochoduodenal fistula: A case report". Oncology Letters 11, no. 1 (2016): 481-483. https://doi.org/10.3892/ol.2015.3908