Department of Medicine, University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT, 06032, USA.
Department of Gastroenterology, Mayo Clinic, Rochester, MN, USA.
Clin J Gastroenterol. 2021 Apr;14(2):446-452. doi: 10.1007/s12328-020-01324-z. Epub 2021 Jan 9.
Peptic ulceration with fistula formation into the inferior vena cava is rare, difficult to diagnose, and associated with high mortality. The nonspecific signs and symptoms make diagnosis challenging, delaying optimal treatment. Although there have been reports on duodeno-caval fistulas, gastric communication with the inferior vena cava is very rare. We report the second case of a fatal gastro-caval fistula and performed a review of the literature on entero-caval fistulas to emphasize the importance of early suspicion and to understand the most common presentation, as well as the best diagnostic and treatment modalities of this rare pathology.
消化性溃疡伴瘘管形成至下腔静脉较为罕见，难以诊断，且死亡率高。非特异性的体征和症状使诊断变得具有挑战性，导致治疗延误。虽然有关于十二肠-腔静脉瘘的报道，但胃与下腔静脉相通则非常罕见。我们报告了第二例致命性胃-腔静脉瘘，并对肠-腔静脉瘘的文献进行了回顾，以强调早期怀疑的重要性，并了解这种罕见病理的最常见表现以及最佳诊断和治疗方式。
