Inferior vena cava filter penetration following Whipple surgical procedure causing ureteral injury

Authors

  • Ahmed Kamel Abdel Aal
  • Islam B. Ezzeldin
  • Amr Soliman Moustafa
  • Nathan Ertel
  • Rachel Oser

DOI:

https://doi.org/10.3941/jrcr.v9i12.2508

Keywords:

IVC filter, Ureteral injury, Hydroureter, Hydronephrosis, penetration, Whipple procedure

Abstract

We report a case of an indwelling inferior vena cava filter that penetrated the IVC wall after Whipple's pancreatico-duodenectomy procedure performed in a patient with ampullary carcinoma, resulting in right ureteral injury and obstruction with subsequent hydroureter and hydronephrosis. This was incidentally discovered on a computed tomography scan performed as routine follow up to evaluate the results of the surgery. We retrieved the inferior vena cava filter and placed a nephrostomy catheter to relieve the ureteral obstruction. Our case highlights the importance of careful inferior vena cava manipulation during abdominal surgery in the presence of an inferior vena cava filter, and the option of temporary removal of the filter to be placed again after surgery in order to avoid this complication, unless protection is required against clot migration during the surgical procedure.

Author Biographies

Ahmed Kamel Abdel Aal

Department of Radiology

Chief, Section of Vascular and Interventional Radiology

Medical Director, Heart and Vascular Center

Medical Director, Vascular Access Service 

Islam B. Ezzeldin

Department of Radiology

Amr Soliman Moustafa

Research associate 

Department of Radiology

 

Nathan Ertel

Assistant Professor, Department of Radiology

Rachel Oser

Associate Professor, Department of Radiology

Journal of Radiology Case Reports December 2015 issue - Cover page: A Torted Ruptured Intra-abdominal Testicular Seminoma Presenting As An Acute Abdomen by Oliver James Nickalls et al.

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Published

2015-12-28

Issue

Vol. 9 No. 12 (2015)

Section

Interventional Radiology

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