Duodenal ulcer complicated with choledochoduodenal fistula and pneumobilia in a young child: A very rare case report

Spontaneous pneumobilia is the disease of elderly, usually results from abnormal biliary-enteric communication mostly as a consequence of cholelithiasis related gall bladder perforation in to the normal duodenum. Pneumobilia due to choledochoduodenal fistula (CDF) from duodenal ulcer is quite rare nowadays due to the low prevalence of peptic ulcer disease and has not been reported in children. We reported a case of duodenal ulcer related CDF with pneumobilia in a young child. Medical management is effective in such cases and surgery is indicated in cases of poorly controlled symptoms or complications.