Recurrent Polymicrobial Bloodstream Infections as Harbingers of a Duodenal-Inferior Vena Cava Fistula

Authors

Gregory E. Koval, University of Nebraska Medical CenterFollow
Richard J. Hankins, University of Nebraska Medical CenterFollow
Jasmine R. Marcelin, University of Nebraska Medical CenterFollow

Document Type

Case Report

Disciplines

Higher Education | Infectious Disease | Medicine and Health Sciences | Surgery

Abstract

This is a case of an 82-year-old patient who presented with recurrent polymicrobial bloodstream infections and no obvious undrained source of infection. She had prior double barrel iliocaval stenting for post thrombotic syndrome. The patient underwent exploratory laparotomy and primary repair of a duodenal-caval fistula with a fascia lata patch and an omental pedicle flap. No further bloodstream infections were documented after the repair. This discussion highlights an uncommon complication of IVC stenting, its presentation as well as the operative approach used to repair the fistula.

DOI

https://doi.org/10.32873/unmc.dc.gmerj.5.2.010

Keywords

doudenum, inferior vena cava, fistula

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Recommended Citation

Koval, G. E., Hankins, R. J., , Marcelin, J. R. Recurrent Polymicrobial Bloodstream Infections as Harbingers of a Duodenal-Inferior Vena Cava Fistula. Graduate Medical Education Research Journal. 2023 Dec 26; 5(2).
https://digitalcommons.unmc.edu/gmerj/vol5/iss2/10