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Caval umbrella causing obstructive uropathy

D Flanagan1, T Creasy, F Chataway

  • 1Metabolism Unit, Royal Bournemouth Hospital, UK.

Postgraduate Medical Journal
|April 1, 1996
PubMed
Summary
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Inferior vena cava filters can cause rare complications. A filter perforated the vena cava wall, leading to ureteric obstruction and loin pain five years after insertion.

Area of Science:

  • Vascular surgery
  • Urology
  • Medical device complications

Background:

  • Inferior vena cava (IVC) filters are used to prevent pulmonary embolism.
  • A 49-year-old woman received an IVC filter due to recurrent pulmonary emboli and gastrointestinal bleeding.

Observation:

  • The patient presented five years post-insertion with new symptoms.
  • Symptoms included loin pain and signs of obstructive uropathy.

Findings:

  • Imaging revealed a right pelvi-ureteric obstruction.
  • The obstruction was caused by the IVC filter perforating the inferior vena cava wall.

Implications:

  • This case highlights a rare but serious complication of IVC filters.
  • Delayed diagnosis of IVC filter migration or perforation can lead to significant morbidity.

Related Experiment Videos

  • Awareness of such complications is crucial for timely intervention.