Duodenocaval fistula from inferior vena cava filter penetration masquerading as lower gastrointestinal bleeding

Lokesh Bathla, Aru Panwar, Robert Joseph Fitzgibbons, Marcus Balters

Research output: Contribution to journalArticle

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Abstract

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.

Original languageEnglish
JournalAnnals of Vascular Surgery
Volume25
Issue number8
DOIs
Publication statusPublished - Nov 2011

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All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Surgery

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