DuraiRaj R, Fogarty S
Department of Surgery, Prince of Wales Hospital, Randwick, Sydney, New South Wales, Australia.
Eur J Vasc Endovasc Surg. 2006 Dec;32(6):737-9. doi: 10.1016/j.ejvs.2006.06.018. Epub 2006 Aug 23.
The concept of vena caval interruption was first described by Armand Trousseau in 1865 [HANN CL. STREIFF MB. The role of vena caval filters in the management of venous thromboembolism. Blood Rev 2005;19(4):179-202]. Methods described have included surgical ligation of the inferior vena cava (IVC) to the development of percutaneous inferior vena caval filters which have been, up until recently, permanently placed in the vessel. These devices are not without risk. We describe a case of penetration of the duodenum by a standard stainless steel Greenfield vena caval filter.
An 83 year old woman presented with vague epigastric discomfort. She was noted to have intermittent globally deranged liver function tests and was investigated accordingly. Investigations included an endoscopic retrograde cholangio-pancreatography (ERCP) which revealed an inferior vena cava filter penetrating the wall of the small bowel.
We describe this unique presentation of a penetrating vena caval filter and suggest that a clinician may be inclined to consider a simple endoscopy on occasions when this complication/diagnosis is considered.
腔静脉阻断的概念最早由阿尔芒·特鲁索于1865年描述[汉恩·CL. 斯特雷夫·MB. 腔静脉滤器在静脉血栓栓塞管理中的作用。《血液学综述》2005年；19(4):179 - 202]。所描述的方法包括手术结扎下腔静脉（IVC）以及经皮置入下腔静脉滤器的发展，直到最近，这些滤器都是永久性地放置在血管中。这些装置并非没有风险。我们描述了一例标准不锈钢格林菲尔德腔静脉滤器穿透十二指肠的病例。
一名83岁女性出现上腹部隐痛不适。她的肝功能检查结果间歇性地全面异常，因此接受了相应检查。检查包括内镜逆行胰胆管造影（ERCP），结果显示一个腔静脉滤器穿透了小肠壁。
我们描述了这种腔静脉滤器穿透的独特表现，并建议当考虑到这种并发症/诊断时，临床医生有时可能倾向于考虑进行简单的内镜检查。
