Inferior vena cava graft-enteric fistula after extended hepatectomy with caval replacement

被引：4

作者：

Addeo, Pietro ^{[1
]}

Rosso, Edoardo ^{[1
]}

Oussoultzoglou, Elie ^{[1
]}

Jaeck, Daniel ^{[1
]}

Pessaux, Patrick ^{[1
]}

Bachellier, Philippe ^{[1
]}

机构：

[1] Univ Strasbourg, Hop Hautepierre Hopitaux Univ Strasbourg, F-67098 Strasbourg, France

来源：

JOURNAL OF VASCULAR SURGERY | 2012年 / 55卷 / 01期

关键词：

DUODENOCAVAL FISTULA; LATE COMPLICATION; COMBINED LIVER; RESECTION; RECONSTRUCTION; LEIOMYOSARCOMA; IRRADIATION;

D O I：

10.1016/j.jvs.2011.05.118

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A case of an inferior vena cava (IVC) graft-enteric fistula manifesting with recurrent sepsis 11 years after a right hepatectomy extending to segments I and IV, the extrahepatic bile duct, and IVC followed by chemotherapy and external-beam radiation therapy is described. A preoperative workup revealed graft thrombosis with air bubbles inside the lumen. Laparotomy found a chronic fistula between the graft and the enteric biliary loop. Removal of the graft without further vascular reconstruction, a take-down of the biliary loop, and a redo hepaticojejunostomy were performed successfully. The diagnostic challenges, possible etiology, and therapeutic implications of this case are discussed. (J Vasc Surg 2012;55:226-9.)

引用

页码：226 / 229

页数：4

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