Choledochoduodenal fistula in a pediatric patient with gallstone disease

We report a clinical case of a rare complication of gallstone disease in a pediatric patient – a choledochoduodenal fistula. A 9-year-old female had been treated conservatively for cholangitis. After transfer to our center, duodenoscopy revealed a choledochoduodenal fistula. Initially performed endoscopic sphincterotomy up to the level of the fistula and balloon lithoextraction resulted in resolution of biliary obstruction and cholangitis. Cholecystectomy did not follow because of marked inflammatory infiltration and a high risk of perioperative complications. However, the patient subsequently developed recurrent biliary colic successfully managed by emergency laparoscopic cholecystectomy. The study addresses diagnostic challenges and aspects of modern endoscopy, and provides a review of the relevant literature.

• Publication year

  2025

• Venue

  Annaly khirurgicheskoy gepatologii = Annals of HPB surgery

• Publication date

  2025-12-22

• Fields of study

  Not labeled

• Identifiers
  DOI 10.16931/1995-5464.2025-4-84-88
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

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