Surgical Removal of an Inferior Vena Cava Filter Discovered in Duodenum During Endoscopy: A Case Report
An inferior vena cava filter (IVCF) is a medical device inserted into the inferior vena cava (IVC) to prevent pulmonary embolism by capturing blood clots before they reach the pulmonary arteries. However, long-lasting IVCFs can be complicated by penetration into adjacent organs. A 68-year-old man wa...
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Medrang
2025-05-01
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| Series: | Vascular Specialist International |
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| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.250020 |
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| author | Ye Chan Jeong Seung-Kee Min |
| author_facet | Ye Chan Jeong Seung-Kee Min |
| author_sort | Ye Chan Jeong |
| collection | DOAJ |
| description | An inferior vena cava filter (IVCF) is a medical device inserted into the inferior vena cava (IVC) to prevent pulmonary embolism by capturing blood clots before they reach the pulmonary arteries. However, long-lasting IVCFs can be complicated by penetration into adjacent organs. A 68-year-old man was found to have an IVCF strut in the duodenum during a routine gastroduodenoscopy. He had undergone prophylactic IVCF placement 10 years earlier following a severe car accident. Open surgical removal of the IVCF was performed via a midline incision. Some struts were embedded in the posterior wall of the IVC by fibrous tissue, while others had penetrated the IVC wall, including one strut embedded in the duodenum. After the removal of each strut individually, the duodenal connection was sutured. No postoperative complications were observed. This case highlights the late complications of a retained IVCF and the need for a filter registry and early removal. |
| format | Article |
| id | doaj-art-11c9c7c1e1364dbe87bcc0a11b7e326c |
| institution | DOAJ |
| issn | 2288-7970 2288-7989 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj-art-11c9c7c1e1364dbe87bcc0a11b7e326c2025-08-20T03:09:57ZengMedrangVascular Specialist International2288-79702288-79892025-05-014110.5758/vsi.250020vsi.250020Surgical Removal of an Inferior Vena Cava Filter Discovered in Duodenum During Endoscopy: A Case ReportYe Chan Jeong0Seung-Kee Min1Department of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaAn inferior vena cava filter (IVCF) is a medical device inserted into the inferior vena cava (IVC) to prevent pulmonary embolism by capturing blood clots before they reach the pulmonary arteries. However, long-lasting IVCFs can be complicated by penetration into adjacent organs. A 68-year-old man was found to have an IVCF strut in the duodenum during a routine gastroduodenoscopy. He had undergone prophylactic IVCF placement 10 years earlier following a severe car accident. Open surgical removal of the IVCF was performed via a midline incision. Some struts were embedded in the posterior wall of the IVC by fibrous tissue, while others had penetrated the IVC wall, including one strut embedded in the duodenum. After the removal of each strut individually, the duodenal connection was sutured. No postoperative complications were observed. This case highlights the late complications of a retained IVCF and the need for a filter registry and early removal.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.250020inferior vena cavavena cava filtersduodenumendoscopylaparotomy |
| spellingShingle | Ye Chan Jeong Seung-Kee Min Surgical Removal of an Inferior Vena Cava Filter Discovered in Duodenum During Endoscopy: A Case Report Vascular Specialist International inferior vena cava vena cava filters duodenum endoscopy laparotomy |
| title | Surgical Removal of an Inferior Vena Cava Filter Discovered in Duodenum During Endoscopy: A Case Report |
| title_full | Surgical Removal of an Inferior Vena Cava Filter Discovered in Duodenum During Endoscopy: A Case Report |
| title_fullStr | Surgical Removal of an Inferior Vena Cava Filter Discovered in Duodenum During Endoscopy: A Case Report |
| title_full_unstemmed | Surgical Removal of an Inferior Vena Cava Filter Discovered in Duodenum During Endoscopy: A Case Report |
| title_short | Surgical Removal of an Inferior Vena Cava Filter Discovered in Duodenum During Endoscopy: A Case Report |
| title_sort | surgical removal of an inferior vena cava filter discovered in duodenum during endoscopy a case report |
| topic | inferior vena cava vena cava filters duodenum endoscopy laparotomy |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.250020 |
| work_keys_str_mv | AT yechanjeong surgicalremovalofaninferiorvenacavafilterdiscoveredinduodenumduringendoscopyacasereport AT seungkeemin surgicalremovalofaninferiorvenacavafilterdiscoveredinduodenumduringendoscopyacasereport |