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.
© 2022 Published by Elsevier Inc. on behalf of Society for Vascular Surgery.