title: Persistent abdominal pain caused by an inferior vena cava filter protruding into the duodenum and the aortic wall.
abstract: Inferior vena cava (IVC) filter placement has increased dramatically over the past 2 decades. Symptomatic duodenal perforation by IVC filters with involvement of the aorta is a very rare, but challenging, complication. We report a case of persistent atypical right upper quadrant pain secondary to duodenal and aortic perforation by an IVC filter treated with cavotomy for filter removal, primary repair of the duodenum, and extraction of prongs from the aorta.
authors.affiliation: Division of Vascular Surgery, Stony Brook University Medical Center, Stony Brook, NY 11794-8191, USA. rmalgor@notes.cc.sunysb.edu
authors.forename: Rafael D
authors.initials: RD
authors.lastname: Malgor
authors.forename: George L
authors.initials: GL
authors.lastname: Hines
authors.forename: Lisa
authors.initials: L
authors.lastname: Terrana
authors.forename: Nicos
authors.initials: N
authors.lastname: Labropoulos
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D001011:Aorta / Q000293:injuries* / Q000601:surgery; D003646:Debridement; D020878:Device Removal; D004384:Duodenoscopy; D004386:Duodenum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D005773:Gastroscopy; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D011474:Prosthesis Design; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016306:Vena Cava Filters / Q000009:adverse effects*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery