Fistula between duodenum and portal vein caused by peptic ulcer disease and complicated by hemorrhage and portal vein thrombosis.
We document a patient with a penetrating peptic ulcer of the first part of the duodenum, that extended into the main portal vein forming a fistula. This is the first reported case of a duodenoportal fistula secondary to peptic ulcer disease. The fistula was complicated by massive gastrointestinal hemorrhage, extra- and intrahepatic portal vein thrombosis, hepatic parenchymal infarction, and intrahepatic portal vein foreign body granulomas containing vegetable matter.
Soares
M A
MA
Department of Pathology, Toronto Hospital, University of Toronto, Ontario, Canada.
Wanless
I R
IR
Ambus
U
U
Cameron
R
R
D000368:Aged; D002908:Chronic Disease; D004378:Duodenal Diseases / Q000209:etiology* / Q000473:pathology; D004381:Duodenal Ulcer / Q000150:complications* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D015745:Granuloma, Foreign-Body / Q000150:complications / Q000473:pathology; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000473:pathology; D010438:Peptic Ulcer Hemorrhage / Q000150:complications* / Q000473:pathology; D010439:Peptic Ulcer Perforation / Q000150:complications* / Q000473:pathology; D011169:Portal Vein; D013927:Thrombosis / Q000150:complications* / Q000473:pathology; D014652:Vascular Diseases / Q000209:etiology / Q000473:pathology