Choledochoduodenal fistula in a pediatric patient with gallstone disease
https://doi.org/10.16931/1995-5464.2025-4-84-88
Abstract
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.
About the Authors
A. M. Efremenkov
Central Clinical Hospital of the Presidential Administration of the Russian Federation; Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Artem M. Efremenkov – Cand. of Sci. (Med.), Head of the Pediatric Surgical Department, Central Clinical Hospital of the Presidential Administration of the Russian Federation; Associate Professor of the Department of Pediatric Surgery named after academician S.Ya. Doletsky, Russian Medical Academy of Continuous Professional Education
15, Marshala Timoshenko str., Moscow, 121359
2/1 bld. 1, Barrikadnaya str., Moscow, 125993
E. N. Solodinina
Central Clinical Hospital of the Presidential Administration of the Russian Federation; Central State Medical Academy of the Presidential Administration of the Russian Federation
Russian Federation
Russian Federation
Elena N. Solodinina – Doct. of Sci. (Med.), Head of the Endoscopy Department, Central Clinical Hospital of the Presidential Administration of the Russian Federation; Associate Professor of the Department of Surgery with courses in Endoscopy and Pediatric Surgery, Central State Medical Academy of the Presidential Administration of the Russian Federation
15, Marshala Timoshenko str., Moscow, 121359
19 bld. 1A, Marshala Timoshenko str., Moscow, 121359
A. P. Zykin
Central Clinical Hospital of the Presidential Administration of the Russian Federation; Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Alexandr P. Zykin – Cand. of Sci. (Med.), Pediatric Surgeon, Endoscopist at the Pediatric Surgical Department, Central Clinical Hospital of the Presidential Administration of the Russian Federation; Assistant Professor of the Department of Pediatric Surgery named after academician S.Ya. Doletsky, Russian Medical Academy of Continuous Professional Education
15, Marshala Timoshenko str., Moscow, 121359
2/1 bld. 1, Barrikadnaya str., Moscow, 125993
N. V. Fomicheva
Central Clinical Hospital of the Presidential Administration of the Russian Federation
Russian Federation
Russian Federation
Natalia V. Fomicheva – Cand. of Sci. (Med.), Endoscopist of the Endoscopy Department
15, Marshala Timoshenko str., Moscow, 121359
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For citations:
Efremenkov A.M., Solodinina E.N., Zykin A.P., Fomicheva N.V. Choledochoduodenal fistula in a pediatric patient with gallstone disease. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2025;30(4):84-88. (In Russ.) https://doi.org/10.16931/1995-5464.2025-4-84-88
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