Surgical Approach for Duodenocaval Fistula Secondary to Inferior Vena Caval Graft Penetration

Year 2015, Volume: 68 Issue: 3, 143 - 145, 30.12.2015

Mehmet Akif Türkoğlu

Abstract

Fistula formation between the duodenum and inferior vena cava (IVC) is a rare entity. It may be diagnosed after upper gastrointestinal bleeding. Here in, we present a case of IVC graft- duodenal fistula manifesting with hematemesis and melena which was diagnosed by upper gastrointestinal (GI) endoscopy. Abdominal computed tomography (CT) was reported as normal. At laparotomy, an IVC dacron graf with erosion into the adherent duodenum was explored. The graft was removed and the duodenum was repaired by doublelayer continuous suture with omental patch application. Surgery is the best therapeutic approach for treatment of dudodenocaval fistula. Double-layer continuous suture of duodenum supported by the application of an omental patch can be an option for surgical approach.

Keywords

Inferior Vena Cava , Graft Penetration , Enteric Fistula

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Vena Kava İnferior Greft Penetrasyonuna Sekonder Duodenokaval Fistullerde Cerrahi Yaklașım

Abstract

Duodenum ve inferior vena kava (İVK) arasında fistül olușumu nadir bir durumdur. Üst gastrointestinal kanamalardan sonra tanı konulabilir. Burada, hematemez ve melena ile belirti gösteren, üst gastrointestinal (Gİ) endoskopi ile tanı konulan İVK greft – duodenal fistül vakasını sunmaktayız. Abdominal bilgisayarlı tomografisi normal olarak rapor edildi. Laparotomide, İVK Dakron greft ile bitișiğindeki duodenumun erozyonu gözlendi. Greft çıkarıldı ve duodenum iki kat kontinü sütürle omental yama uygulanarak onarıldı. Cerrahi, duodenokaval fistülde en iyi tedavi yaklașımıdır. Duodenumun iki kat kontinü sütür ile omental yama desteği cerrahi yaklașımda bir seçenek olabilir.

Keywords

İnferior Vena Kava , Greft Penetrasyonu , Enterik Fistül

Ethical Statement

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Supporting Institution

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Project Number

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Thanks

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