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伴有下腔静脉滤器的十二指肠穿孔:腹痛的罕见病因。

Duodenal perforation with an inferior vena cava filter: an unusual cause of abdominal pain.

作者信息

Feezor Robert J, Huber Thomas S, Welborn M Burress, Schell Scott R

机构信息

Department of Surgery, University of Florida College of Medicine, 1600 SW Archer Road, Gainesville, FL 32610-0286, USA.

出版信息

J Vasc Surg. 2002 May;35(5):1010-2. doi: 10.1067/mva.2002.121567.

DOI:10.1067/mva.2002.121567
PMID:12021693
Abstract

The insertion of inferior vena cava (IVC) filters results in device migration at rates that exceed 50% in some studies, although the clinical significance of migration remains in question. These filters can also erode or penetrate the IVC wall, injuring adjacent retroperitoneal and abdominal structures. The risk of erosion or perforation is estimated to be as much as 25%, although clinical symptoms are observed far less frequently in patients with these complications. We describe the presentation, evaluation, and treatment of a patient with an IVC strut protruding into the duodenum. This case report discusses complications, presenting symptoms, and treatment of patients with IVC filters complications.

摘要

下腔静脉(IVC)滤器植入后,在一些研究中,装置移位率超过50%,尽管移位的临床意义仍存在疑问。这些滤器还可能侵蚀或穿透下腔静脉壁,损伤相邻的腹膜后和腹部结构。侵蚀或穿孔的风险估计高达25%,尽管在出现这些并发症的患者中,临床症状的发生率要低得多。我们描述了一例下腔静脉支柱突入十二指肠患者的临床表现、评估和治疗。本病例报告讨论了下腔静脉滤器并发症患者的并发症、症状表现及治疗。

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