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Case Reports in Radiology
Volume 2015 (2015), Article ID 575961, 5 pages
http://dx.doi.org/10.1155/2015/575961
Case Report

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

1School of Medicine, University of Milano-Bicocca, Via Pergolesi 33, 20900 Monza, Italy
2Department of Diagnostic Radiology, H. S. Gerardo Monza, Via Pergolesi 33, 20900 Monza, Italy

Received 16 March 2015; Revised 4 June 2015; Accepted 7 June 2015

Academic Editor: Atsushi Komemushi

Copyright © 2015 Davide Ippolito et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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).