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Case Reports
. 2011 Sep;5(3):546-52.
doi: 10.1159/000331863. Epub 2011 Sep 13.

Fistula between the Jejunum and the Inferior Vena Cava after Esophagojejunal Anastomosis

Young S Oh  1 , Paul M Knechtges
Affiliations
Case Reports

Fistula between the Jejunum and the Inferior Vena Cava after Esophagojejunal Anastomosis

Young S Oh et al. Case Rep Gastroenterol. 2011 Sep.

Abstract

Fistulas between the luminal gastrointestinal tract and vascular structures can result from a variety of etiologies. While there have been reports of fistulas between the inferior vena cava and the duodenum, we report the first case to our knowledge of a fistula between the jejunum and the inferior vena cava after esophagojejunal anastomosis for recurrent esophageal adenocarcinoma.

Keywords: Esophageal cancer; Fistula; Sepsis; Surgical anastomosis.

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Figures

Fig. 1
Fig. 1
Limited upper gastrointestinal series demonstrating leaks from the esophagojejunal anastomosis progressing toward the inferior vena cava (white arrow) and collecting under the left hemidiaphragm (black arrow).
Fig. 2
Fig. 2
Computed tomography of the chest showing a fistulous communication between the jejunum/Roux limb and the inferior vena cava (white arrowheads).
Fig. 3
Fig. 3
Computed tomography of the chest showing a gas-containing septic embolus in the right lower lobe (white arrow).
Fig. 4
Fig. 4
Upper endoscopy demonstrating two fistulas at the esophagojejunal anastomosis with clotted blood seen at one of the openings.
See this image and copyright information in PMC

References

    1. Guillem PG, Binot D, Dupuy-Cuny J, Laberenne JE, Lesage J, Triboulet JP, Chambon JP. Duodenocaval fistula: A life-threatening condition of various origins. J Vasc Surg. 2001;33:643–645. - PubMed
    1. Benjamin DS, Ruckle HC, Hadley HR. Local recurrence of renal cell carcinoma causing duodenal-inferior vena caval fistula: case report and review of the literature. Urology. 1996;48:636–638. - PubMed
    1. Guo Y, Zhang YQ, Lin W. Radiologic diagnosis of duodenocaval fistula: a case report and literature review. World J Gastroenterol. 2010;16:2314–2316. - PMC - PubMed
    1. Brandão D, Canedo A, Maia M, Ferreira J, Vaz G. Duodenocaval fistula as a result of a fish bone perforation. J Vasc Surg. 2010;51:1276–1278. - PubMed
    1. Moran EA, Porterfield JR, Jr, Nagorney DM. Duodenocaval fistula after irradiation and resection of a retroperitoneal sarcoma. J Gastrointest Surg. 2008;12:776–778. - PubMed

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