ACASE REPORT OF CHOLEDOCHODUODENAL FISTULAAND PANCREATICODUODENAL FISTULA ASSOCIATED WITH INTRAHEPATIC CALCIFICATION

Abstract

A 59-year-old man was referred to our hospital for further evaluation of right hypochondrial pain and jaundice in March 1995. Abdominal GT and ultrasonography demonstrated multiple calcifications and atrophy of the left hepatic lobe. ERCP revealedthree orifices at the major papilla and the oral protrusion. The presence of pancreaticoduodenal fistula was confirmed by passing a cannula through the orifice ofduodenal papilla. And orifice of oral protrusion was communicated with the common bileduct.(choledochoduoduodenal fistula) Cholangiography showed remarkable dilatation ofthe common bile duct and right hepatic duct, and showed obstruction of the left hepaticduct. This is a very rare case of choledochoduodenal fistula and pancreaticoduodenal fistula formed by common bile duct stone.