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

Lokesh Bathla, Aru Panwar, Robert J. Fitzgibbons, Marcus Balters

Research output: Contribution to journalArticle

7 Citations (Scopus)

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 (US)
Pages (from-to)1140.e7-1140.e11
JournalAnnals of Vascular Surgery
Volume25
Issue number8
DOIs
StatePublished - Nov 2011

Fingerprint

Vena Cava Filters
Inferior Vena Cava
Fistula
Hemorrhage
Morbidity
Equipment and Supplies
Mortality
Incidence

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Duodenocaval fistula from inferior vena cava filter penetration masquerading as lower gastrointestinal bleeding. / Bathla, Lokesh; Panwar, Aru; Fitzgibbons, Robert J.; Balters, Marcus.

In: Annals of Vascular Surgery, Vol. 25, No. 8, 11.2011, p. 1140.e7-1140.e11.

Research output: Contribution to journalArticle

Bathla, Lokesh ; Panwar, Aru ; Fitzgibbons, Robert J. ; Balters, Marcus. / Duodenocaval fistula from inferior vena cava filter penetration masquerading as lower gastrointestinal bleeding. In: Annals of Vascular Surgery. 2011 ; Vol. 25, No. 8. pp. 1140.e7-1140.e11.
@article{59ebbcc234bb49468bf01b24888dcf1d,
title = "Duodenocaval fistula from inferior vena cava filter penetration masquerading as lower gastrointestinal bleeding",
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.",
author = "Lokesh Bathla and Aru Panwar and Fitzgibbons, {Robert J.} and Marcus Balters",
year = "2011",
month = "11",
doi = "10.1016/j.avsg.2011.03.015",
language = "English (US)",
volume = "25",
pages = "1140.e7--1140.e11",
journal = "Annals of Vascular Surgery",
issn = "0890-5096",
publisher = "Elsevier Inc.",
number = "8",

}

TY - JOUR

T1 - Duodenocaval fistula from inferior vena cava filter penetration masquerading as lower gastrointestinal bleeding

AU - Bathla, Lokesh

AU - Panwar, Aru

AU - Fitzgibbons, Robert J.

AU - Balters, Marcus

PY - 2011/11

Y1 - 2011/11

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=80054930488&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80054930488&partnerID=8YFLogxK

U2 - 10.1016/j.avsg.2011.03.015

DO - 10.1016/j.avsg.2011.03.015

M3 - Article

C2 - 21835583

AN - SCOPUS:80054930488

VL - 25

SP - 1140.e7-1140.e11

JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

SN - 0890-5096

IS - 8

ER -