What question did this study set out to answer?

To highlight the occurrence of spontaneous choledochoduodenal fistula following complete CBD transection from penetrating trauma and its management.

Spontaneous choledochoduodenal fistula following complete common bile duct transection from penetrating abdominal trauma: an unexpected non-operative resolution

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Case report shows spontaneous fistula management in biliary trauma, suggesting conservative approaches are viable.

To highlight the occurrence of spontaneous choledochoduodenal fistula following complete CBD transection from penetrating trauma and its management.
Reported case of a 29-year-old male with penetrating abdominal trauma and grade V hepatic injury.
Management included emergency laparotomy, hemorrhage control, and observation for spontaneous fistula development.
Follow-up imaging with MRCP and endoscopic evaluation to assess biliary drainage and function.
Spontaneous choledochoduodenal fistula observed at two months post-injury, enabling internal biliary drainage.
Patient remained asymptomatic at one-year follow-up with normal liver function.
No definitive bilio-enteric reconstruction required due to effective conservative management.

Atri et al. (2026) studied this question.

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View Full Paper

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Authors

Case report shows spontaneous fistula management in biliary trauma, suggesting conservative approaches are viable.

To highlight the occurrence of spontaneous choledochoduodenal fistula following complete CBD transection from penetrating trauma and its management.
Reported case of a 29-year-old male with penetrating abdominal trauma and grade V hepatic injury.
Management included emergency laparotomy, hemorrhage control, and observation for spontaneous fistula development.
Follow-up imaging with MRCP and endoscopic evaluation to assess biliary drainage and function.
Spontaneous choledochoduodenal fistula observed at two months post-injury, enabling internal biliary drainage.
Patient remained asymptomatic at one-year follow-up with normal liver function.
No definitive bilio-enteric reconstruction required due to effective conservative management.

Atri et al. (2026) studied this question.

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