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February 18, 1974

Duodenocaval Fistula Due to Toothpick Perforation

Author Affiliations

From the departments of medicine (Drs. Justiniani and Wigoda) and pathology (Dr. Ortega), Mount Sinai Medical Center, Miami Beach.

JAMA. 1974;227(7):788-789. doi:10.1001/jama.1974.03230200046009

Duodenocaval fistula was caused by toothpick perforation of the third portion of the duodenum into the inferior vena cava. The patient died of fulminant sepsis.