Document Type

Case Report


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


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.




doudenum, inferior vena cava, fistula

Creative Commons License

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

Figure 1.png (955 kB)
Computed Tomography (CT) Scan with intraluminal gas near inferior vena cava (IVC) stent. B. Positron emission tomography (PET) CT Scan with increased uptake in the area of the inferior vena cava (IVC) stent

Figure 2.png (604 kB)
Duodenum (arrow) adherent to the inferior vena cava (star)

Figure 3.png (777 kB)
Duodenal repair

Figure 4.png (742 kB)
Exposed inferior vena cava stent

Figure 5.png (758 kB)
Inferior vena cava (IVC) repair with fascia lata patch



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