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Retroperitoneal caval filter as a source of abdominal pain
1Department of Surgery, Division of Vascular Surgery, New York University Medical Center, New York 10016.
Cardiovascular Surgery (London, England)
|February 1, 1994
Summary
A Mobin-Uddin vena caval filter migrated and caused severe symptoms after 10 years. Surgical removal resolved the patient's pain and weight loss, restoring their health.
Area of Science:
- Vascular surgery
- Medical device complications
- Gastrointestinal surgery
Background:
- Inferior vena cava filters (IVCFs) are used to prevent pulmonary embolism.
- Long-term complications of IVCFs can include migration and erosion into adjacent organs.
- The Mobin-Uddin filter is a type of retrievable IVCF.
Observation:
- A patient presented with abdominal pain, nausea, anorexia, and weight loss 10 years after Mobin-Uddin filter placement.
- Imaging revealed the filter had migrated to an extracaval position in the retroperitoneum.
- Filter struts were impinging on the right kidney, duodenum, and colon.
Findings:
- Surgical intervention was required for the displaced filter.
- The Mobin-Uddin filter was successfully removed surgically.
- Post-operative recovery was uncomplicated.
Implications:
- This case highlights the potential for delayed, severe complications from migrated IVCFs.
- Prompt diagnosis and surgical management are crucial for resolving extracaval filter-related morbidity.
- Long-term surveillance for IVCF complications may be warranted.
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