Duodenocaval Fistula in a Patient with Inferior Vena Cava Leiomyosarcoma Treated by Surgical Resection and Caval Polytetrafluoroethylene Prosthesis

Author:

Ippolito Davide12ORCID,Querques Giulia12,Drago Silvia Girolama12,Bonaffini Pietro Andrea12,Sironi Sandro12

Affiliation:

1. School of Medicine, University of Milano-Bicocca, Via Pergolesi 33, 20900 Monza, Italy

2. Department of Diagnostic Radiology, H. S. Gerardo Monza, Via Pergolesi 33, 20900 Monza, Italy

Abstract

Inferior vena cava (IVC) leiomyosarcoma represents an extremely rare disease that commonly involves the segment between the inflow of the renal veins and the inflow of the hepatic veins (46% of cases). We report the case of a patient affected by an IVC leiomyosarcoma, treated with surgical resection, caval reconstruction with polytetrafluoroethylene (PTFE), and right nephrectomy, followed by external beam radiotherapy. Oncological follow-up was negative for 17 years after this combined treatment, since the patient developed a duodenocaval fistula (DCF).

Publisher

Hindawi Limited

Subject

General Medicine

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