Surgical Management of Inferior Vena Cava Strut Penetration Causing Hydronephrosis: Case Report

Abstract

We present a case of penetration of inferior venacava (IVC) by primary struts of Cook Celect filter and impingement on right ureter, causing symptomatic hydronephrosis and hydroureter, which was managed surgically by ureterolysis, mobilization of the ureter by retroperitoneal approach, excision of the filter strut, and omental wrap around the ureter.

Keywords

ureteric mobilization IVC filter hydronephrosis

Get full access to this article

View all access options for this article.

References

Joles CS , Sing RF , Heniford BT Complications of inferior vena cava filters. Am Surg . 2003;69(8):654-659.

Stacey CS , Manhire AR , Rose DH , Bishop MC Bird’s nest filter causing symptomatic hydronephrosis following transmural penetration of the inferior vena cava. Cardiovasc Intervent Radiol. 2004;27(1);):61-63.

Jackson Slappy AL , Kennedy RJ , Hakaim AG , Parra RO , Oldenburg WA Delayed transcaval renal penetration by a Greenfield filter presenting as symptomatic hydronephrosis . J Urol. 2002;167(4):1778-1779.

Berger BD , Jafri SZH , Konczalski M. Symptomatic hydronephrosis caused by inferior vena cava penetration by a Greenfield filter. J Vasc Interv Radiol. 1996;7(1):99-101.