Duodenocaval fistula is an extremely rare and life-threatening cause of gastrointestinal hemorrhage and septicemia. Diagnosing this condition is challenging due to its nonspecific symptoms, leading to significant delays in diagnosis and contributing to its remarkably high mortality rate. We present a unique case of duodenocaval fistula associated with prior radiation, peptic ulcer disease, and antiangiogenic cancer therapy, nearly resulting in the death of a young patient.
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| http://dx.doi.org/10.14309/crj.0000000000001340 | DOI Listing |
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Duodenocaval Fistula: Unmasking the Rare Culprit of Gastrointestinal Hemorrhage.
ACG Case Rep J
April 2024
Division of Gastroenterology and Hepatology, University of Nebraska Medical Center, Omaha, NE.
Duodenocaval fistula is an extremely rare and life-threatening cause of gastrointestinal hemorrhage and septicemia. Diagnosing this condition is challenging due to its nonspecific symptoms, leading to significant delays in diagnosis and contributing to its remarkably high mortality rate. We present a unique case of duodenocaval fistula associated with prior radiation, peptic ulcer disease, and antiangiogenic cancer therapy, nearly resulting in the death of a young patient.
View Article and Find Full Text PDFBackground: A duodenocaval fistula is seen when a connection exists between the duodenum and the inferior vena cava. It is a rare entity that presents a diagnostic challenge due to its nonspecific presenting symptoms and often is found only during a laparotomy or autopsy.
Case Presentation: A 37-year-old man initially presented to the hospital for melena but went into cardiac arrest before undergoing an esophagogastroduodenoscopy.
Duodenocaval fistula after bevacizumab therapy: case presentation and complete overview of the literature.
J Surg Case Rep
June 2023
Surgery Department, Santo Stefano Hospital, ASL Toscana Centro, Prato, Italy.
Duodenocaval fistula (DCF) is a very rare condition and is associated with a 41.1% of mortality rate. Although ingested foreign bodies, peptic ulcer disease and radiotherapy are often the etiologies described, only three patients have been described who developed DCF after bevacizumab therapy.
View Article and Find Full Text PDFPost-bulbar duodenal ulcer with anterior perforation with kissing ulcer and duodenocaval fistula: A case report and review of literature.
World J Clin Cases
September 2022
Department of Surgery, College of Medicine, Majmaah University, Riyadh 66, Riyadh , Saudi Arabia.
Background: A post-bulbar duodenal ulcer (PBDU) is an ulcer in the duodenum that is distal to the duodenal bulb. PBDU may coexist with a synchronous posterior ulcer in rare occurrences, resulting in a kissing ulcer (KU). Duodenocaval fistula (DCF) is another uncommon but potentially fatal complication related to PBDU.
View Article and Find Full Text PDFDuodenocaval Fistula from an Inferior Vena Cava Filter Perforation.
EJVES Vasc Forum
June 2022
Department of Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA.
Background: This article describes a rare case of inferior vena cava (IVC) filter perforation into the duodenum in a patient presenting with abdominal pain.
Case Report: A 55 year old woman presented with abdominal pain four years after an IVC filter placement. Workup demonstrated an IVC filter strut perforating the duodenum.
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