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Case Reports
. 2022 Jul 6;8(3):396-398.
doi: 10.1016/j.jvscit.2022.05.017. eCollection 2022 Sep.

Treatment of a duodenal-caval fistula secondary to peptic ulcer disease

Ezra Y Koh  1 , Ross G McFall  1 , Raghave Upadhyaya  1 , Young Chun  2 , Maham Rahimi  1
Affiliations
Case Reports

Treatment of a duodenal-caval fistula secondary to peptic ulcer disease

Ezra Y Koh et al. J Vasc Surg Cases Innov Tech. .

Abstract

We have reported the case of a duodenal-caval fistula in a 46-year-old man with peptic ulcer disease. He had previously undergone an open Graham patch repair for a perforated anterior duodenal ulcer and had presented 1 month after surgery with an upper gastrointestinal bleeding episode. A duodenal-caval fistula was diagnosed after computed tomography and was confirmed by upper endoscopy. The patient underwent staged repair of his duodenal-caval fistula with inferior vena cava thrombectomy, pyloric exclusion, and gastrojejunostomy creation.

Keywords: Duodenum; Fistula; Gastrointestinal hemorrhage; Inferior vena cava; Peptic ulcer.

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Figures

Fig 1
Fig 1
Computed tomography scan demonstrating a duodenal-caval fistula (arrow).
Fig 2
Fig 2
Intraoperative photograph of suture repair (arrow) of the inferior vena cava (IVC).
Fig 3
Fig 3
Fluoroscopic image of active hemorrhage (arrow) from an aberrant duodenal artery.
See this image and copyright information in PMC

References

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