Wang Karissa M, Stafforini Nicolas A, Sham Jonathan G, Hemingway Jake F
Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WA.
Section of Hepatopancreatobiliary Surgery, Department of Surgery, University of Washington, Seattle, WA.
J Vasc Surg Cases Innov Tech. 2025 Mar 8;11(3):101780. doi: 10.1016/j.jvscit.2025.101780. eCollection 2025 Jun.
A 36-year-old male, with a prior history of an abdominal gunshot wound requiring duodenojejunostomy and inferior vena cava (IVC) repair, complicated by subsequent IVC occlusion requiring stent placement, presented 13 years after his initial injuries with abdominal pain and septic shock secondary to erosion of the IVC stent into the duodenum, forming a duodenal-caval fistula, resulting in bacteremia and fungemia. He underwent successful partial IVC stent explant and duodenal repair. Although rare, the possibility of IVC stent erosion into adjacent structures should be considered as a potential complication following IVC stent reconstruction in reoperative fields.
一名36岁男性，既往有腹部枪伤史，曾行十二指肠空肠吻合术及下腔静脉（IVC）修复术，术后并发IVC闭塞，需置入支架。初次受伤13年后，因IVC支架侵蚀十二指肠，形成十二指肠-腔静脉瘘，导致菌血症和真菌血症，出现腹痛和感染性休克。他接受了成功的部分IVC支架取出术和十二指肠修复术。尽管罕见，但在再次手术区域进行IVC支架重建后，应考虑IVC支架侵蚀邻近结构的可能性为潜在并发症。
