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    J Vasc Surg. 2012 Jan;55(1):226-9. Epub 2011 Oct 5.

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

    Addeo P, Rosso E, Oussoultzoglou E, Jaeck D, Pessaux P, Bachellier P.

    Source

    Pôle des Pathologies Digestives, Hépatiques et de la Transplantation, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasburg, France.

    Abstract

    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.

    Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

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    PMID:
    21975062
    [PubMed - indexed for MEDLINE]

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