1979
DOI: 10.1097/00005373-197904000-00011
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Sepsis and Upper Gastrointestinal Hemorrhage due to Duodenal-caval Fistula: Complications of Delayed Treatment of a Penetrating Abdominal Injury (Case Report)

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Cited by 20 publications
(12 citation statements)
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“…Although the clinical picture can be broad and nonspecific, the classic presentation is, as in any condition with fistulous communication between the digestive tract and the vascular system, one of sepsis coupled with gastrointestinal bleeding. 8 Nearly 70% of patients with DCF demonstrated gastrointestinal bleeding or septicemia, but only 45% presented with both. 2 They may not have been concomitantly present or may have been simply occult, as these entities can range from isolated fever to lethal septic shock, or from trace blood in the stool to overt hypovolemic shock.…”
Section: Discussionmentioning
confidence: 99%
“…Although the clinical picture can be broad and nonspecific, the classic presentation is, as in any condition with fistulous communication between the digestive tract and the vascular system, one of sepsis coupled with gastrointestinal bleeding. 8 Nearly 70% of patients with DCF demonstrated gastrointestinal bleeding or septicemia, but only 45% presented with both. 2 They may not have been concomitantly present or may have been simply occult, as these entities can range from isolated fever to lethal septic shock, or from trace blood in the stool to overt hypovolemic shock.…”
Section: Discussionmentioning
confidence: 99%
“…8 The association between these two symptoms was identified only in 40% of patients. 2 DCF Inferior vena cava (IVC) venogram following aspiration thrombectomy.…”
Section: Discussionmentioning
confidence: 99%
“…Classically, patients with fistulas between the digestive tract and vascular tree have an association of sepsis and digestive tract bleeding. 5 Although 70% of the patients with duodenalecaval fistulas complained of at least one of these signs, only 45% demonstrated both sepsis and bleeding. The risk factors of duodenalecaval fistulas include migrating caval filter, right nephrectomy and radiotherapy, peptic ulcer, foreign body, abdominal injury, and colon cancer.…”
Section: Discussionmentioning
confidence: 99%