Bond Jordan M, Wayne Erik, Dwivedi Amit J, Sigdel Abindra
Department of Surgery, University of Louisville, Kentucky, USA.
Ann Vasc Dis. 2017 Dec 25;10(4):438-440. doi: 10.3400/avd.cr.17-00020.
Symptomatic penetration of the retroperitoneal structures by inferior vena cava (IVC) filter is a rare clinical entity. Vast majority of these patients require laparotomy and open retrieval of the filter. We report a case of a filter penetrating into the duodenum within two months of implantation resulting in gastrointestinal bleeding. The patient was successfully managed with percutaneous retrieval of the filter, blood transfusion and serial abdominal examination thus avoiding laparotomy.
下腔静脉(IVC)滤器穿透腹膜后结构并出现症状是一种罕见的临床情况。这些患者中的绝大多数需要进行剖腹手术并开放取出滤器。我们报告一例患者,滤器在植入后两个月内穿透至十二指肠,导致胃肠道出血。该患者通过经皮取出滤器、输血及连续腹部检查成功得到治疗,从而避免了剖腹手术。