PMC7298208_01
Esophagogastroduodenoscopy showing duodenal ulcer.
10.1177_2324709620934680-fig1.jpg
PMC7298208_01_10.1177_2324709620934680-fig1.jpg
fig1-2324709620934680
Repeat EGD was done to biopsy the fistula and pathology were consistent with poorly differentiated serous carcinoma with morphology and immune profiling consistent with the initial high-grade serous carcinoma of the ovary (Figures 1-5).
Endoscopic retrograde cholangiopancreatography showing biliary stenosis, common biliary
duct stricture.
10.1177_2324709620934680-fig2.jpg
PMC7298208_01_10.1177_2324709620934680-fig2.jpg
fig2-2324709620934680
Repeat EGD was done to biopsy the fistula and pathology were consistent with poorly differentiated serous carcinoma with morphology and immune profiling consistent with the initial high-grade serous carcinoma of the ovary (Figures 1-5).
Repeat esophagogastroduodenoscopy (EGD) showing duodenal fistula. Second portion
duodenum was carefully viewed using the standard EGD followed by the side-viewing
duodenal scope: protruded major papilla with previously placed common bile duct stent
seen extending into the duodenal lumen. A small fistula with brown, particulate fluid
content likely bilious fluid flowing into the duodenal lumen was seen at approximately 2
duodenal mucosal folds superior or proximal to the major papilla.
10.1177_2324709620934680-fig3.jpg
PMC7298208_01_10.1177_2324709620934680-fig3.jpg
fig3-2324709620934680
Repeat EGD was done to biopsy the fistula and pathology were consistent with poorly differentiated serous carcinoma with morphology and immune profiling consistent with the initial high-grade serous carcinoma of the ovary (Figures 1-5).
Magnetic resonance cholangiopancreatography showing fistula. Soft tissue, fluid, and
gas collection centered within the region of the duodenum/pancreatic head with
suggestion of communication with the common bile duct. This may reflect a duodenal ulcer
complicated by choledochoduodenal fistula and/or abscess.
10.1177_2324709620934680-fig4.jpg
PMC7298208_01_10.1177_2324709620934680-fig4.jpg
fig4-2324709620934680
Repeat EGD was done to biopsy the fistula and pathology were consistent with poorly differentiated serous carcinoma with morphology and immune profiling consistent with the initial high-grade serous carcinoma of the ovary (Figures 1-5).
Computed tomography of abdomen and pelvis showing pneumobolia in the left lobe of the
liver.
10.1177_2324709620934680-fig5.jpg
PMC7298208_01_10.1177_2324709620934680-fig5.jpg
fig5-2324709620934680
Repeat EGD was done to biopsy the fistula and pathology were consistent with poorly differentiated serous carcinoma with morphology and immune profiling consistent with the initial high-grade serous carcinoma of the ovary (Figures 1-5).