Case Report

Fatal Duodenocaval Fistula Caused by Peptic Ulcer

Authors: CPT EMIL P. LESHO, CPT CHRISTOPHER LeBRUN, MAJ FRANK J. LANDRY, LTC AMY TSUCHIDA COL, RONALD H. COOPER MC, USA, Tacoma, Wash

Abstract

ABSTRACTGastrointestinal bleeding caused by a duodenocaval fistula is rare, diagnostically challenging, and associated with a high mortality rate. We describe the case of a patient with polymicrobial fungemia and fatal gastrointestinal bleeding related to a duodenocaval fistula caused by peptic ulcer. Polymicrobial fungemia, which has not previously been associated with this condition, raises the possibility of candidal endocarditis.

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