Obstructive jaundice with duodenal biliary fistula: diagnostic and therapeutic challenges, case report, and literature review.

ABSTRACT:

Background

This case presents a 56-year-old male with obstructive jaundice, complicated by bile duct stones, bile duct dilation, and a possible biliary-enteric fistula. This case contributes to the literature by highlighting the complexities of managing obstructive jaundice in patients with complex surgical histories.

Case summary

The patient, with a history of laparoscopic cholecystectomy (2022), presented with upper abdominal pain, jaundice, and fever. Imaging (ultrasound, CT, MRCP) revealed intrahepatic bile duct dilation, pneumobilia, stones, and a biliary-enteric fistula. Initial ERCP attempted fistula dilation but was unsuccessful due to inflammatory fibrosis. Subsequent laparoscopic partial gastrectomy with Roux-en-Y gastrojejunostomy resolved the obstruction. Postope

SUBMITTER: Xing R 

PROVIDER: S-EPMC12511064 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature