TY - JOUR
T1 - Duodenocaval fistula from inferior vena cava filter penetration masquerading as lower gastrointestinal bleeding
AU - Bathla, Lokesh
AU - Panwar, Aru
AU - Fitzgibbons, Robert J.
AU - Balters, Marcus
PY - 2011/11
Y1 - 2011/11
N2 - Asymptomatic penetration of the inferior vena cava (IVC) wall with retrievable filters is not uncommon. Occasionally, this can be a cause for morbidity, and rarely for mortality. We present a case of duodenocaval fistula, secondary to penetration from a strut of retrievable IVC filter that presented as lower gastrointestinal bleeding and discuss the subsequent management. Although newer generation retrievable filters provide a longer time for retrieval, they are associated with an increased incidence of IVC wall penetration, caudal migration, and occasionally symptomatic presentation, thereby necessitating surgical intervention. Close follow-up is warranted, and prompt retrieval of such devices should be done when their use is no longer indicated.
AB - Asymptomatic penetration of the inferior vena cava (IVC) wall with retrievable filters is not uncommon. Occasionally, this can be a cause for morbidity, and rarely for mortality. We present a case of duodenocaval fistula, secondary to penetration from a strut of retrievable IVC filter that presented as lower gastrointestinal bleeding and discuss the subsequent management. Although newer generation retrievable filters provide a longer time for retrieval, they are associated with an increased incidence of IVC wall penetration, caudal migration, and occasionally symptomatic presentation, thereby necessitating surgical intervention. Close follow-up is warranted, and prompt retrieval of such devices should be done when their use is no longer indicated.
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U2 - 10.1016/j.avsg.2011.03.015
DO - 10.1016/j.avsg.2011.03.015
M3 - Article
C2 - 21835583
AN - SCOPUS:80054930488
SN - 0890-5096
VL - 25
SP - 1140.e7-1140.e11
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
IS - 8
ER -