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.
Justiniani FR, Wigoda L, Ortega RS. Duodenocaval Fistula Due to Toothpick Perforation. JAMA. 1974;227(7):788–789. doi:10.1001/jama.1974.03230200046009
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