Choledochodudodenal Fistula on Endoscopy Patient admitted with cholangitis, dilated CHD and IHBDs, remote cholecystectomy. I found this in the bulb, weeping bile! This was a bile duct injury from surgical clips (lap chole 5y ago) resulting in partial CBD obstruction with spontaneous choledochoduodenal fistula. The patient cholangitis and stack of stones in hilum and IHBDs. - Andy Tau, MD @DrBloodandGuts #Choledochodudodenal #Fistula #Endoscopy #EGD #gastroenterology #clinical
