Less commonly they may lead to cholangitis, duodenal stenosis or duodenal fistula
CT scan with positive oral contrast media revealed free fluid and air in the peritoneal cavity and contrast media leakage through the surgical drain due to a duodenal fistula
Disease may present with fistula formation with adjacent organs, there are isolated reports of bilio-duodenal (4), aortoduodenal (5), and mesenteric artery duodenal fistula
The aim is to convert a potentially uncontrolled lateral duodenal fistula into a controlled end-fistula by diversion of gastric and biliary contents away from the duodenal injury, while making provision for early enteral nutrition via a gastrojejunostomy.
Endoscopic stenting of high-output traumatic duodenal fistula.
It is believed that 75%-85% of duodenum injury could be closed primarily and the incidence of duodenal fistula is less than 10%.
The most serious complication following the treatment of duodenal injury is duodenal fistula with average incidence of 6%.
The fourth patient with multiple gun-shots to the abdomen developed duodenal fistula
after two weeks and died due to multi-organ failure on 23d day after the first surgery.
CT abdomen showed features of chronic cholecystitis, cholecysto duodenal fistula
with gall stone ileus due to large impacted stone in terminal ileum.
Thirteen days after the initial repair he developed a high-output duodenal fistula
which drained 5 000-7 000 ml per day.
Cholecystectomy was performed and the duodenal fistula
41) All these options carry risks, and major complications including duodenal fistulas
and bile leakage, and pancreatitis may occur postoperatively.