• Ann Vasc Surg · Nov 2011

    Case Reports

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

    • Lokesh Bathla, Aru Panwar, Robert J Fitzgibbons, and Marcus Balters.
    • Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska 68198, USA. bathlalok@gmail.com
    • Ann Vasc Surg. 2011 Nov 1; 25 (8): 1140.e7-11.

    AbstractAsymptomatic 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.Copyright © 2011 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.

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