Open AccessPerforation of inferior vena cava and duodenum by strut of inferior vena cava filter
Author(s) -
Hyun Oh Park,
Jun Young Choi,
Inseok Jang,
Jong Duk Kim,
Jong Woo Kim,
Joung Hun Byun,
Sung Hwan Kim,
Jun Yang,
Seong Ho Moon,
Ki Nyun Kim,
Dong Hun Kang,
Jae Jun Jung,
Seung-Myung Choi,
Ji Yoon Kim,
Chung Eun Lee
Publication year - 2019
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000017835
Subject(s) - medicine , inferior vena cava , duodenum , perforation , inferior vena cava filter , vena cava , radiology , surgery , thrombosis , venous thrombosis , materials science , metallurgy , punching
An Inferior vena cava (IVC) filter is an intravascular filter that is implanted into the IVC to prevent pulmonary embolism in medical, surgical, and trauma patients. The insertion of an IVC filter is a relatively safe procedure, but rarely may be associated with symptomatic perforation of the IVC wall, particularly in the long term. Patient concerns and diagnosis: A 74-year-old-woman with a medical history of IVC filter insertion visited the emergency department complaining of abdominal pain. A computed tomography scan showed perforation of the IVC wall and penetration into the duodenum by one of the filter's struts. Interventions: We performed a laparotomy to remove the IVC filter. Outcomes: Postoperatively, the patient was admitted to the general ward. On hospital day 12, she was discharged without any complications. We followed her up and computed tomography did not show any abnormal findings six months after discharge. Lessons: There is currently no evidence testifying to the benefits of IVC filter removal. Detailed, evidence-based guidelines on the indications, timing and procedure for IVC filter removal are needed. Documenting cases of long-term complications of IVC filter s such as in this patient serve to accelerate the publication of updated guidelines and are aimed at improving outcomes of similar cases in the future.