Duodenocaval fistula: A life-threatening condition of various origins

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• 作者：Philippe G. Guillem ; Daniel Binot ; Jean Dupuy-Cuny ; Jean Eric Laberenne ; Jocelyn Lesage ; Jean-Pierre Triboulet ; Jean-Pierre Chambon
• 关键词：Thoracic aorta aneurysm ; aortotracheal fistula ; aortoesophageal fistula
• 刊名：Journal of Vascular Surgery
• 出版年：2001
• 出版时间：March 2001
• 年：2001
• 卷：33
• 期：3
• 页码：643-645
• 全文大小：69 K

文摘

We report on two cases of duodenocaval fistula. The first patient, a 73-year-old man, had sepsis and occult digestive bleeding. We diagnosed a fistula that resulted from a right nephrectomy and subsequent radiotherapy for a urothelial tumor 20 months earlier. The second patient, a 60-year-old woman, complained of right abdominal pain. A duodenocaval fistula that was caused by duodenal perforation by a migrating caval filter placed 10 years earlier was revealed by means of endoscopy. Both patients had a successful operation to treat the condition. An extensive review of the literature disclosed 35 other cases and identified two factors of good prognosis: duodenocaval fistulas caused by migrating caval filters and early surgery. (J Vasc Surg 2001;33:643-5.)