{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T05:15:02Z","timestamp":1730956502535,"version":"3.28.0"},"reference-count":0,"publisher":"Journal of Nepal Medical Association (JNMA)","issue":"279","license":[{"start":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T00:00:00Z","timestamp":1730332800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Nepal Med Assoc"],"abstract":"<jats:p>Choledochoduodenal fistula is an abnormal connection between the common bile duct and the\u00a0duodenum. The commonest cause is cholecystolithiasis, however, other causes are iatrogenic\u00a0factors, bile duct stones (choledocholithiasis), and chronic duodenal ulcers. Here, we report\u00a0a case of choledochoduodenal fistula secondary to long standing choledocholithiasis post\u00a0cholecystectomy who presented with intermittent abdominal pain in the past three years which\u00a0revealed choledochoduodenal fistula during Endoscopic Retrograde Cholangiopancreatography. As\u00a0the patient had recurrent pain along with choledocholithiasis, surgical intervention was indicated. Choledochoduodenal fistula is suspected in case of recurrent cholangitis and surgery is recommended for refractory and complicated cases. Surgical treatment is also recommended for larger fistulas\u00a0and especially with non-resolving medical treatment. This case highlights the treatment option for\u00a0choledocholithiasis with choledochoduodenal fistula.<\/jats:p>","DOI":"10.31729\/jnma.8815","type":"journal-article","created":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T08:48:23Z","timestamp":1730450903000},"page":"777-779","source":"Crossref","is-referenced-by-count":0,"title":["Post Cholecystectomy Choledochoduodenal Fistula: A Case Report"],"prefix":"10.31729","volume":"62","author":[{"given":"Anip","family":"Joshi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samita","family":"Shakya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surakshya","family":"Thapa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rifka","family":"Sultan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alish","family":"Rajbhandari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priya","family":"Baral","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16919","published-online":{"date-parts":[[2024,10,31]]},"container-title":["Journal of Nepal Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/www.jnma.com.np\/jnma\/index.php\/jnma\/article\/download\/8815\/5106","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.jnma.com.np\/jnma\/index.php\/jnma\/article\/download\/8815\/5106","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T08:49:39Z","timestamp":1730882979000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jnma.com.np\/jnma\/index.php\/jnma\/article\/view\/8815"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,31]]},"references-count":0,"journal-issue":{"issue":"279","published-online":{"date-parts":[[2024,10,31]]}},"URL":"https:\/\/doi.org\/10.31729\/jnma.8815","relation":{},"ISSN":["1815-672X","0028-2715"],"issn-type":[{"type":"electronic","value":"1815-672X"},{"type":"print","value":"0028-2715"}],"subject":[],"published":{"date-parts":[[2024,10,31]]}}}