تفاصيل الوثيقة

نوع الوثيقة : مقال في مجلة دورية 
عنوان الوثيقة :
Bird's nest inferior vena caval filter migration into the duodenum: a rare cause of upper gastrointestinal bleeding
Bird's nest inferior vena caval filter migration into the duodenum: a rare cause of upper gastrointestinal bleeding
 
الموضوع : جراحة الأوعية الدموية 
لغة الوثيقة : الانجليزية 
المستخلص : PURPOSE: To report the first case of a potentially catastrophic complication of vena caval interruption with a bird's nest filter. METHODS AND RESULTS: A 55-year-old Saudi patient presented with hypovolemic shock from massive upper gastrointestinal hemorrhage. Endoscopy identified a metallic object penetrating the duodenum. Five years earlier, the patient had a bird's nest vena caval filter inserted for recurrent pulmonary embolism. During emergent laparotomy, a broken filter wire was found projecting into the duodenum, where it had induced three profusely bleeding ulcers. The wire was transected and the ulcers oversewn. A hook projecting from the inferior vena cava (IVC) was also cut flush with the vessel wall, but the IVC was not opened nor the filter replaced. The patient's postoperative course was complicated by deep venous thrombosis, but he recovered and is asymptomatic on warfarin anticoagulation after 1 year. Computed tomography (CT) at 1-year follow-up confirmed no further migration of the filter. CONCLUSION: This event reinforces the need to monitor patients with IVC filters over the long term, preferably using CT scanning, and to consider filter migration as a possible cause of upper gastrointestinal bleeding 
ردمد : 1526-6028 
اسم الدورية : Journal of Endovascular Surgery 
المجلد : 2 
العدد : 4 
سنة النشر : 1415 هـ
1995 م 
نوع المقالة : تقرير حالة 
تاريخ الاضافة على الموقع : Monday, August 24, 2009 

الباحثون

اسم الباحث (عربي)اسم الباحث (انجليزي)نوع الباحثالمرتبة العلميةالبريد الالكتروني
حسن الزهرانيAl-Zahrani, Hasan باحثدكتوراه 

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اسم الملفالنوعالوصف
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