Duodenocaval fistula: a life-threatening condition of various origins

J Vasc Surg. 2001 Mar;33(3):643-5. doi: 10.1067/mva.2001.111741.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Duodenal Diseases / diagnostic imaging
  • Duodenal Diseases / etiology
  • Duodenal Diseases / surgery*
  • Female
  • Foreign-Body Migration / complications
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / surgery
  • Humans
  • Intestinal Fistula / diagnostic imaging
  • Intestinal Fistula / etiology
  • Intestinal Fistula / surgery*
  • Male
  • Middle Aged
  • Prognosis
  • Risk Factors
  • Tomography, X-Ray Computed
  • Vascular Fistula / diagnostic imaging
  • Vascular Fistula / etiology
  • Vascular Fistula / surgery*
  • Vena Cava Filters
  • Vena Cava, Inferior / diagnostic imaging
  • Vena Cava, Inferior / surgery*