Duodenal-caval fistula from eroding inferior vena cava stent requiring explant and duodenal repair
A 36-year-old male, with a prior history of an abdominal gunshot wound requiring duodenojejunostomy and inferior vena cava (IVC) repair, complicated by subsequent IVC occlusion requiring stent placement, presented 13 years after his initial injuries with abdominal pain and septic shock secondary to...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725000620 |
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| author | Karissa M. Wang, MD Nicolas A. Stafforini, MD Jonathan G. Sham, MD, MBEE Jake F. Hemingway, MD |
| author_facet | Karissa M. Wang, MD Nicolas A. Stafforini, MD Jonathan G. Sham, MD, MBEE Jake F. Hemingway, MD |
| author_sort | Karissa M. Wang, MD |
| collection | DOAJ |
| description | A 36-year-old male, with a prior history of an abdominal gunshot wound requiring duodenojejunostomy and inferior vena cava (IVC) repair, complicated by subsequent IVC occlusion requiring stent placement, presented 13 years after his initial injuries with abdominal pain and septic shock secondary to erosion of the IVC stent into the duodenum, forming a duodenal-caval fistula, resulting in bacteremia and fungemia. He underwent successful partial IVC stent explant and duodenal repair. Although rare, the possibility of IVC stent erosion into adjacent structures should be considered as a potential complication following IVC stent reconstruction in reoperative fields. |
| format | Article |
| id | doaj-art-deea6f40426849ee9c0db40898991cab |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-deea6f40426849ee9c0db40898991cab2025-08-20T03:48:51ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-06-0111310178010.1016/j.jvscit.2025.101780Duodenal-caval fistula from eroding inferior vena cava stent requiring explant and duodenal repairKarissa M. Wang, MD0Nicolas A. Stafforini, MD1Jonathan G. Sham, MD, MBEE2Jake F. Hemingway, MD3Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WADivision of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WASection of Hepatopancreatobiliary Surgery, Department of Surgery, University of Washington, Seattle, WADivision of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WA; Correspondence: Jake F. Hemingway, MD, Division of Vascular Surgery, Department of Surgery, University of Washington, 325 9th Ave, Box 359908, Seattle, WA 98104A 36-year-old male, with a prior history of an abdominal gunshot wound requiring duodenojejunostomy and inferior vena cava (IVC) repair, complicated by subsequent IVC occlusion requiring stent placement, presented 13 years after his initial injuries with abdominal pain and septic shock secondary to erosion of the IVC stent into the duodenum, forming a duodenal-caval fistula, resulting in bacteremia and fungemia. He underwent successful partial IVC stent explant and duodenal repair. Although rare, the possibility of IVC stent erosion into adjacent structures should be considered as a potential complication following IVC stent reconstruction in reoperative fields.http://www.sciencedirect.com/science/article/pii/S2468428725000620Duodenal fistulaStent erosionVena cava fistula |
| spellingShingle | Karissa M. Wang, MD Nicolas A. Stafforini, MD Jonathan G. Sham, MD, MBEE Jake F. Hemingway, MD Duodenal-caval fistula from eroding inferior vena cava stent requiring explant and duodenal repair Journal of Vascular Surgery Cases and Innovative Techniques Duodenal fistula Stent erosion Vena cava fistula |
| title | Duodenal-caval fistula from eroding inferior vena cava stent requiring explant and duodenal repair |
| title_full | Duodenal-caval fistula from eroding inferior vena cava stent requiring explant and duodenal repair |
| title_fullStr | Duodenal-caval fistula from eroding inferior vena cava stent requiring explant and duodenal repair |
| title_full_unstemmed | Duodenal-caval fistula from eroding inferior vena cava stent requiring explant and duodenal repair |
| title_short | Duodenal-caval fistula from eroding inferior vena cava stent requiring explant and duodenal repair |
| title_sort | duodenal caval fistula from eroding inferior vena cava stent requiring explant and duodenal repair |
| topic | Duodenal fistula Stent erosion Vena cava fistula |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725000620 |
| work_keys_str_mv | AT karissamwangmd duodenalcavalfistulafromerodinginferiorvenacavastentrequiringexplantandduodenalrepair AT nicolasastafforinimd duodenalcavalfistulafromerodinginferiorvenacavastentrequiringexplantandduodenalrepair AT jonathangshammdmbee duodenalcavalfistulafromerodinginferiorvenacavastentrequiringexplantandduodenalrepair AT jakefhemingwaymd duodenalcavalfistulafromerodinginferiorvenacavastentrequiringexplantandduodenalrepair |