Inferior vena cava filter penetration following Whipple’s surgery causing ureteral injury.

Posted By Ahmed Abdel Aal
Inferior vena cava filter penetration following Whipple’s surgery causing ureteral injury.

We report a case of an indwelling inferior vena cava (IVC) 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 CT scan performed as routine follow up to evaluate the results of the surgery. We retrieved the IVC filter and placed a nephrostomy catheter to relieve the ureteral obstruction.

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