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CASE REPORT
A case of hepatic, renal and duodenal penetration by a Celect inferior vena caval filter
  1. Mark McKelvie1,2,
  2. Nagendra Thayur3,
  3. Arun Sebastian3,
  4. Adam Howard3
  1. 1University of Cambridge School of Clinical Medicine, Cambridge, UK
  2. 2Bedford Hospital NHS Trust, Bedford, UK
  3. 3Colchester Hospital University NHS Foundation Trust, Colchester, UK
  1. Correspondence to Mr Mark McKelvie, markmckelvie{at}gmail.com

Summary

Inferior vena caval (IVC) filters are used as a mechanical option for the treatment of venous thromboembolism (VTE) when standard anticoagulation therapy is either contraindicated or VTE recurs despite adequate anticoagulation. Filters are not without risk, however. Reported complications include filter migration and fracture of filter components, leading to IVC rupture and penetration into pericaval tissues (notably kidney, heart, pericardium, thoracic cavity, liver, bowel and aorta). Here we describe an extreme case of multiple organ penetration by a standard Celect caval filter.

  • Vascular surgery
  • Interventional radiology

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Footnotes

  • Contributors MMK: Data collection, drafting the article and final approval of the version to be published. NT and AS: Critical revision of the article. AH: Conception and critical revision of the article.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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