| Radiological diagnosis of duodenocaval fistula: a case report and literature review. | |
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MedLine Citation:
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PMID: 20458773 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Duodenocaval fistula (DCF) is an uncommon but lethal clinical entity. The high mortality has been attributed to the difficulty of diagnosis before attempts at definitive therapy. In this case report, we describe a patient with a series of computed tomography (CT) examinations over a 2-mo period in hospital. A low-density air bubble appeared in the inferior vena cava (IVC) on the second day in hospital and became clear on day 19, and gradually enlarged. Magnetic resonance imaging (MRI) also clearly demonstrated a high-signal enteric contrast medium or thrombus and signal-void air bubbles in the IVC. However, cavography did not show the filling defect. We suggest that noninvasive CT and MRI should be chosen as a first-line investigation, and IVC, including the surrounding structures, should be carefully reviewed on images if DCF is clinically considered. |
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Authors:
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Yong Guo; Yan-Qun Zhang; Wei Lin |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: World journal of gastroenterology : WJG Volume: 16 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-11 Completed Date: 2010-08-20 Revised Date: 2010-09-30 |
Medline Journal Info:
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Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
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Languages: eng Pagination: 2314-6 Citation Subset: IM |
Affiliation:
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Department of Radiology, General Navy Hospital, 6# Fucheng Road, Beijing 100048, China. guoyong27@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Duodenal Diseases / diagnosis, radiography* Embolism, Air / diagnosis, radiography Humans Intestinal Fistula / diagnosis, radiography* Magnetic Resonance Imaging Male Tomography, X-Ray Computed Vascular Fistula / diagnosis, radiography* Vena Cava, Inferior / radiography* |
| Comments/Corrections | |
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