Skip to main content

Advertisement

SpringerLink
Log in

Small Bowel Volvulus in a Quadriplegic: A Rare Complication of the Simon Nitinol Inferior Vena Cava Filter

  • Case Report
  • Published:
European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

The advent and use of inferior vena cava (IVC) filters have reduced the overall incidence of pulmonary embolism in hospitalized patients, but are not without potential complications. With the exponential increase in the utilization of IVC filters over the past two decades, it is important to consider the use of retrievable filters, where indicated, in order to potentially reduce long-term IVC filter-related complications. We report a rare case of small bowel volvulus due to IVC perforation by a Simon Nitinol filter strut in a quadriplegic patient 4 years after IVC filter insertion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bick RL. Hereditary and acquired thrombophilia. Part I: preface. Semin Thromb Hemost 1999;25:251–253.

    Article  CAS  PubMed  Google Scholar 

  2. Waring WP, Karunas RS. Acute spinal cord injuries and the incidence of clinically occurring thromboembolic disease. Paraplegia 1991;29:8–16.

    CAS  PubMed  Google Scholar 

  3. Decousus H, Leizorovicz A, Parent F, Page Y, Tardy B, Girard P, Laporte S, Faivre R, Charbonnier B, Barral FG, Huet Y, Simonneau G. A clinical trial of vena caval filters in the prevention of pulmonary embolism in patients with proximal deep-vein thrombosis: Prevention du Risque d’Embolie Pulmonaire par Interruption Cave Study Group. N Engl J Med 1998;338:409–415.

    Article  CAS  PubMed  Google Scholar 

  4. Hirsh J, Hoak J. Management of deep vein thrombosis and pulmonary embolism: a statement for healthcare professionals. Council on Thrombosis (in consultation with the Council on Cardiovascular Radiology), American Heart Association. Circulation 1996;93:2212–2245.

    CAS  PubMed  Google Scholar 

  5. British Committee for Standards in Haematology Writing Group, Baglin TP, Brush J, Streiff M. Guidelines on use of vena cava filters. Br J Haematol 2006;134:590–595.

    Article  CAS  PubMed  Google Scholar 

  6. Stein PD, Kayali F, Olson RE. Twenty-one-year trends in the use of inferior vena cava filters. Arch Intern Med 2004;164:1541–1545.

    Article  PubMed  Google Scholar 

  7. Mobin-Uddin K, Smith PE, Martines LO, Lombardo CR, Jude JR. A vena cava filter for the prevention of pulmonary embolus. Surg Forum 1967;18:209–211.

    Google Scholar 

  8. Kinney TB. Update on inferior vena cava filters. J Vasc Interv Radiol 2003;14:425–440.

    PubMed  Google Scholar 

  9. Greenfield LJ, McCurdy JR, Brown PP, Elkins RC. A new intracaval filter permitting continued flow and resolution of emboli. Surgery 1973;73:599–606.

    CAS  PubMed  Google Scholar 

  10. Simon M, Athanasoulis CA, Kim D, Steinberg FL, Porter DH, Byse BH, Kleshinski S, Geller S, Orron DE, Waltman AC. Simon Nitinol inferior vena cava filter: initial clinical experience. Work in progress. Radiology 1989;172:99–103.

    CAS  PubMed  Google Scholar 

  11. Streiff MB. Vena caval filters: a comprehensive review. Blood 2000;95:3669–3677.

    CAS  PubMed  Google Scholar 

  12. Poletti PA, Becker CD, Prina L, Ruijs P, Bounameaux H, Didier D, Schneider PA, Terrier F. Long-term results of the Simon Nitinol inferior vena cava filter. Eur Radiol 1998;8:289–294.

    Article  CAS  PubMed  Google Scholar 

  13. Athanasoulis CA. Complications of vena cava filters. Radiology 1993;188:614–615.

    CAS  PubMed  Google Scholar 

  14. Dagirmanjian A, Beckman I. Late Greenfield filter vena cava perforation causing a small bowel obstruction: case report. Cardiovasc Intervent Radiol 1990;13:44–46.

    Article  CAS  PubMed  Google Scholar 

  15. Kupferschmid JP, Dickson CS, Townsend RN, Diamond DL. Small-bowel obstruction from an extruded Greenfield filter strut: an unusual late complication. J Vasc Surg 1992;16:113–115.

    Article  CAS  PubMed  Google Scholar 

  16. Feezor RJ, Huber TS, Welborn MB, 3rd, Schell SR. Duodenal perforation with an inferior vena cava filter: an unusual cause of abdominal pain. J Vasc Surg 2002;35:1010–1012.

    Article  PubMed  Google Scholar 

  17. Puram B, Maley TJ, White NM, Rotman HH, Miller G. Acute myocardial infarction resulting from the migration of a Greenfield filter. Chest 1990;98:1510–1511.

    Article  CAS  PubMed  Google Scholar 

  18. Dabbagh A, Chakfe N, Kretz JG, Demri B, Nicolini P, Fuentes C, Mettauer B, Epailly E, Muster D, Eisenmann B. Late complication of a Greenfield filter associating caudal migration and perforation of the abdominal aorta by a ruptured strut. J Vasc Surg 1995;22:182–187.

    Article  CAS  PubMed  Google Scholar 

  19. Johns JS, Nguyen C, Sing RF. Vena cavafilters in spinal cord injuries: evolving technology. J Spinal Cord Med 2006;29:183–190.

    PubMed  Google Scholar 

  20. McKinley WO, Jackson AB, Cardenas DD, DeVivo MJ. Long-term medical complications after traumatic spinal cord injury: a regional model systems analysis. Arch Phys Med Rehabil 1999;80:1402–1410.

    Article  CAS  PubMed  Google Scholar 

  21. Zakhary EM, Elmore JR, Galt SW, Franklin DP: Optional filters in trauma patients: can retrieval rates be improved? Ann Vasc Surg 2008;22:627–634.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery, Geisinger Medical Center, Danville, PA, USA

    Nsikak J. Umoh MD, MPH & Anthony O. Udekwu

  2. Department of Vascular Surgery, Geisinger Medical Center, Danville, PA, USA

    Christopher M. Alessi & David P. Franklin

  3. Department of General Surgery, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA, USA

    Nsikak J. Umoh MD, MPH

Authors
  1. Nsikak J. Umoh MD, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Christopher M. Alessi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. David P. Franklin
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Anthony O. Udekwu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Nsikak J. Umoh MD, MPH.

Additional information

Presented at the 21st Annual Meeting of the American Venous Forum, held on February 11–14, 2009, in Phoenix, Arizona, USA.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Umoh, N.J., Alessi, C.M., Franklin, D.P. et al. Small Bowel Volvulus in a Quadriplegic: A Rare Complication of the Simon Nitinol Inferior Vena Cava Filter. Eur J Trauma 36, 250–253 (2010). https://doi.org/10.1007/s00068-009-9113-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00068-009-9113-1

Key Words

Search

Navigation