Journal article
Iliac Artery–Inferior Vena Cava–Duodenal Fistula: An Unusual Cause of Massive Gastrointestinal Bleeding
ACG case reports journal, v 10(9), 01132
01 Sep 2023
PMID: 37663237
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
An arteriovenous-enteric fistula is a 3-way connection between the vascular and enteric system and associated with high mortality. We describe a case of iliac artery–inferior vena cava–duodenal fistula in a young female with a retroperitoneal mass presenting with sepsis and hemorrhagic shock with a catastrophic clinical course. These fistulas can be missed on endoscopy/colonoscopy and are usually diagnosed on computed tomography angiogram of the abdomen. Complex vasculoenteric fistula should be among differentials in patients presenting with gastrointestinal bleeding, especially with a history of malignancy, radiation, foreign bodies, and trauma. The management is complex and should involve a multidisciplinary approach involving vascular surgery, intervention radiology, and gastroenterologist.
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Details
- Title
- Iliac Artery–Inferior Vena Cava–Duodenal Fistula: An Unusual Cause of Massive Gastrointestinal Bleeding
- Creators
- Rahul Karna - Allegheny General HospitalBalaji Jagdish - Allegheny General HospitalNabeeha Mohy-Ud-Din - Allegheny General HospitalAbhijit Kulkarni - Allegheny General Hospital
- Publication Details
- ACG case reports journal, v 10(9), 01132
- Publisher
- Wolters Kluwer
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- General Internal Medicine
- Web of Science ID
- WOS:001058834200001
- Other Identifier
- 991022076699204721
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Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Gastroenterology & Hepatology