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  • Title: Fistula between duodenum and portal vein caused by peptic ulcer disease and complicated by hemorrhage and portal vein thrombosis.
    Author: Soares MA, Wanless IR, Ambus U, Cameron R.
    Journal: Am J Gastroenterol; 1996 Jul; 91(7):1462-3. PubMed ID: 8678021.
    Abstract:
    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.
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