Perforation of inferior vena cava and duodenum by strut of inferior vena cava filter: A case report
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 wa...
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Veröffentlicht in: | Medicine (Baltimore) 2019-11, Vol.98 (47), p.e17835-e17835 |
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creator | Park, Hyun Oh Choi, Jun Young Jang, In Seok Kim, Jong Duk Kim, Jong Woo Byun, Joung Hun Kim, Sung Hwan Yang, Jun Ho Moon, Seong Ho Kim, Ki Nyun Kang, Dong Hun Jung, Jae Jun Choi, See Min Kim, Ji Yoon Lee, Chung Eun |
description | 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.
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.
We performed a laparotomy to remove the IVC filter.
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.
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. |
doi_str_mv | 10.1097/MD.0000000000017835 |
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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.
We performed a laparotomy to remove the IVC filter.
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.
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.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000017835</identifier><identifier>PMID: 31764778</identifier><language>eng</language><publisher>United States: the Author(s). Published by Wolters Kluwer Health, Inc</publisher><subject>Aged ; Clinical Case Report ; Device Removal ; Duodenum - injuries ; Duodenum - surgery ; Female ; Humans ; Intestinal Perforation - etiology ; Intestinal Perforation - surgery ; Postoperative Complications - etiology ; Postoperative Complications - surgery ; Vena Cava Filters - adverse effects ; Vena Cava, Inferior - injuries ; Vena Cava, Inferior - surgery</subject><ispartof>Medicine (Baltimore), 2019-11, Vol.98 (47), p.e17835-e17835</ispartof><rights>the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3559-773f677eb2c1d6ff51dd71f2fa14055b8dcdf6f391c0e635f14b0e8b3b3c4e2e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882657/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882657/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,27907,27908,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31764778$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Hyun Oh</creatorcontrib><creatorcontrib>Choi, Jun Young</creatorcontrib><creatorcontrib>Jang, In Seok</creatorcontrib><creatorcontrib>Kim, Jong Duk</creatorcontrib><creatorcontrib>Kim, Jong Woo</creatorcontrib><creatorcontrib>Byun, Joung Hun</creatorcontrib><creatorcontrib>Kim, Sung Hwan</creatorcontrib><creatorcontrib>Yang, Jun Ho</creatorcontrib><creatorcontrib>Moon, Seong Ho</creatorcontrib><creatorcontrib>Kim, Ki Nyun</creatorcontrib><creatorcontrib>Kang, Dong Hun</creatorcontrib><creatorcontrib>Jung, Jae Jun</creatorcontrib><creatorcontrib>Choi, See Min</creatorcontrib><creatorcontrib>Kim, Ji Yoon</creatorcontrib><creatorcontrib>Lee, Chung Eun</creatorcontrib><title>Perforation of inferior vena cava and duodenum by strut of inferior vena cava filter: A case report</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>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.
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.
We performed a laparotomy to remove the IVC filter.
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.
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.</description><subject>Aged</subject><subject>Clinical Case Report</subject><subject>Device Removal</subject><subject>Duodenum - injuries</subject><subject>Duodenum - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Intestinal Perforation - etiology</subject><subject>Intestinal Perforation - surgery</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - surgery</subject><subject>Vena Cava Filters - adverse effects</subject><subject>Vena Cava, Inferior - injuries</subject><subject>Vena Cava, Inferior - surgery</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtPJCEUhYnRaI_OLzCZsHRTyqOAYhYmRh010ejCWRMKLnY51UULVW3891bbvsZENjdwv3suOQehXUr2KdHq4Opkn3wcqiou1tCECi4LoWW5jiaEMFEorcot9CPn-xHiipWbaItTJUulqglyN5BCTLZvYodjwE0XIDUx4QV0Fju7sNh2HvsheuiGGa6fcO7T0H_DhqbtIf3GR-M1A04wj6nfQRvBthl-vtZt9PfP6e3xeXF5fXZxfHRZOC6ELpTiQSoFNXPUyxAE9V7RwIKlJRGirrzzQQauqSMguQi0rAlUNa-5K4EB30aHK935UM_AO-j6ZFszT83MpicTbWP-73TN1NzFhZFVxaRQo8Deq0CKDwPk3sya7KBtbQdxyIaNvmlRcVaNKF-hLsWcE4T3NZSYZTzm6sR8jWec-vX5h-8zb3mMQLkCHuPSyPyvHR4hmSnYtp--6AmlWcEI1ZQyRorlk-bPO4eccw</recordid><startdate>20191101</startdate><enddate>20191101</enddate><creator>Park, Hyun Oh</creator><creator>Choi, Jun Young</creator><creator>Jang, In Seok</creator><creator>Kim, Jong Duk</creator><creator>Kim, Jong Woo</creator><creator>Byun, Joung Hun</creator><creator>Kim, Sung Hwan</creator><creator>Yang, Jun Ho</creator><creator>Moon, Seong Ho</creator><creator>Kim, Ki Nyun</creator><creator>Kang, Dong Hun</creator><creator>Jung, Jae Jun</creator><creator>Choi, See Min</creator><creator>Kim, Ji Yoon</creator><creator>Lee, Chung Eun</creator><general>the Author(s). Published by Wolters Kluwer Health, Inc</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20191101</creationdate><title>Perforation of inferior vena cava and duodenum by strut of inferior vena cava filter: A case report</title><author>Park, Hyun Oh ; Choi, Jun Young ; Jang, In Seok ; Kim, Jong Duk ; Kim, Jong Woo ; Byun, Joung Hun ; Kim, Sung Hwan ; Yang, Jun Ho ; Moon, Seong Ho ; Kim, Ki Nyun ; Kang, Dong Hun ; Jung, Jae Jun ; Choi, See Min ; Kim, Ji Yoon ; Lee, Chung Eun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3559-773f677eb2c1d6ff51dd71f2fa14055b8dcdf6f391c0e635f14b0e8b3b3c4e2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Clinical Case Report</topic><topic>Device Removal</topic><topic>Duodenum - injuries</topic><topic>Duodenum - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Intestinal Perforation - etiology</topic><topic>Intestinal Perforation - surgery</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - surgery</topic><topic>Vena Cava Filters - adverse effects</topic><topic>Vena Cava, Inferior - injuries</topic><topic>Vena Cava, Inferior - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Hyun Oh</creatorcontrib><creatorcontrib>Choi, Jun Young</creatorcontrib><creatorcontrib>Jang, In Seok</creatorcontrib><creatorcontrib>Kim, Jong Duk</creatorcontrib><creatorcontrib>Kim, Jong Woo</creatorcontrib><creatorcontrib>Byun, Joung Hun</creatorcontrib><creatorcontrib>Kim, Sung Hwan</creatorcontrib><creatorcontrib>Yang, Jun Ho</creatorcontrib><creatorcontrib>Moon, Seong Ho</creatorcontrib><creatorcontrib>Kim, Ki Nyun</creatorcontrib><creatorcontrib>Kang, Dong Hun</creatorcontrib><creatorcontrib>Jung, Jae Jun</creatorcontrib><creatorcontrib>Choi, See Min</creatorcontrib><creatorcontrib>Kim, Ji Yoon</creatorcontrib><creatorcontrib>Lee, Chung Eun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Hyun Oh</au><au>Choi, Jun Young</au><au>Jang, In Seok</au><au>Kim, Jong Duk</au><au>Kim, Jong Woo</au><au>Byun, Joung Hun</au><au>Kim, Sung Hwan</au><au>Yang, Jun Ho</au><au>Moon, Seong Ho</au><au>Kim, Ki Nyun</au><au>Kang, Dong Hun</au><au>Jung, Jae Jun</au><au>Choi, See Min</au><au>Kim, Ji Yoon</au><au>Lee, Chung Eun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perforation of inferior vena cava and duodenum by strut of inferior vena cava filter: A case report</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2019-11-01</date><risdate>2019</risdate><volume>98</volume><issue>47</issue><spage>e17835</spage><epage>e17835</epage><pages>e17835-e17835</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>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.
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.
We performed a laparotomy to remove the IVC filter.
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.
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.</abstract><cop>United States</cop><pub>the Author(s). Published by Wolters Kluwer Health, Inc</pub><pmid>31764778</pmid><doi>10.1097/MD.0000000000017835</doi><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; Wolters Kluwer Open Health; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
subjects | Aged Clinical Case Report Device Removal Duodenum - injuries Duodenum - surgery Female Humans Intestinal Perforation - etiology Intestinal Perforation - surgery Postoperative Complications - etiology Postoperative Complications - surgery Vena Cava Filters - adverse effects Vena Cava, Inferior - injuries Vena Cava, Inferior - surgery |
title | Perforation of inferior vena cava and duodenum by strut of inferior vena cava filter: A case report |
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