Pelvic Hematoma With Acute Hemorrhage Secondary to Inferior Vena Cava Filters.

Autor: Pokharel P; Department of Surgery, St. Agnes Hospital, Baltimore, USA., Araim F; Department of Surgery, St. Agnes Hospital, Baltimore, USA., Adekunle F; Medicine, School of Medicine, American University of the Carribbean, Cupecoy, SXM.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Oct 07; Vol. 15 (10), pp. e46652. Date of Electronic Publication: 2023 Oct 07 (Print Publication: 2023).
DOI: 10.7759/cureus.46652
Abstrakt: Recurrent deep vein thrombosis (DVT) and inferior vena cava (IVC) thrombosis are well-known complications of inferior vena cava filters (IVCFs); however, pelvic hematoma is a rare finding. In this study, we present a case of a 41-year-old female who presented with severe abdominal pain. Extensive bilateral lower extremity DVT, thrombosis extending up to the level of IVCF, and a pelvic hematoma with acute hemorrhage were diagnosed. Mechanical thrombectomy of the IVC, bilateral iliac, and femoral veins with stent placement in the external iliac veins was performed under general anesthesia. This rarely reported case remains a challenge to diagnose and treat because of its complex mechanisms and multiple risk factors. Our case highlights the importance of the surgical strategy adopted and the need for a good initial assessment.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Pokharel et al.)
Databáze: MEDLINE