Gross haematuria associated with penetration of an inferior vena cava filter into the right renal collecting system.
Inferior vena cava (IVC) filters are a viable alternative for patients with venous thromboembolic disease for whom standard anticoagulation therapy is contraindicated. Rare complications associated with their use, however, include misplacement and IVC penetration. We report a case of a 63-year-old woman who developed gross haematuria following IVC filter penetration into both the right renal collecting system and renal pelvis, for which open caval removal and reconstruction was required. This is an unusual case of IVC filter penetration causing symptomatic haematuria and requiring surgical intervention.
Department of Urology, Hartford Hospital, Hartford, Connecticut, USA.
Antonio
A
Cusano
Manchester, Connecticut, USA.
David
D
Rosenberg
Department of Urology, Hartford Hospital, Hartford, Connecticut, USA.
Peter
P
Haddock
Department of Urology, Hartford Hospital, Hartford, Connecticut, USA.
Anoop
A
Meraney
D005260:Female; D005500:Follow-Up Studies; D006417:Hematuria / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007685:Kidney Tubules, Collecting / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000517:prevention & control; D016896:Treatment Outcome; D016306:Vena Cava Filters / Q000009:adverse effects*; D014682:Vena Cava, Inferior / Q000293:injuries* / Q000601:surgery; D020246:Venous Thrombosis / Q000517:prevention & control* / Q000601:surgery