Caldwell Edward H, Fridley Todd L, Erb Edward L, Fleischer Stephen R
Department of Surgery, Kettering Health Network, Dayton, OH, USA.
Vasc Endovascular Surg. 2012 Nov;46(8):671-4. doi: 10.1177/1538574412465479.
A 47-year-old female presented to the emergency department complaining of diffuse abdominal pain and melena. She previously had a Bard G2X inferior vena cava filter placed before undergoing a laparoscopic Roux-en-Y gastric bypass 3 years before her current presentation. She had a history of an anastomotic ulcer that was treated medically. A repeat endoscopic evaluation revealed no evidence of a recent bleed and the ulcer was healed. Computed tomography revealed evidence of multiple filter struts penetrating through the caval wall into the duodenum and aorta. The filter was successfully removed using an En Snare without complications. Reviewing the current literature, open surgical repair has been the treatment of choice for similar patient presentations. We present a successful case of the endovascular retrieval of an inferior vena cava filter with simultaneous caval, aortic, and duodenal penetrations.
一名47岁女性因弥漫性腹痛和黑便就诊于急诊科。她在此次就诊前3年接受腹腔镜Roux-en-Y胃旁路手术前曾植入Bard G2X下腔静脉滤器。她有吻合口溃疡病史，曾接受药物治疗。再次内镜评估未发现近期出血迹象，溃疡已愈合。计算机断层扫描显示多个滤器支柱穿透腔静脉壁进入十二指肠和主动脉。使用En Snare成功取出滤器，无并发症。回顾当前文献，开放手术修复一直是类似患者表现的首选治疗方法。我们报告了一例成功通过血管内取出下腔静脉滤器的病例，该滤器同时穿透了腔静脉、主动脉和十二指肠。
