Upper Gastrointestinal Bleeding Secondary to Duodenal Wall Perforation by Inferior Vena Cava Filter: A Rare Clinical Presentation

Hazem Abosheaishaa; Utsow Saha; Omar Abdelhalim; Nuha Al-Howthi; Ahmed Elhawary; Mohammed Abusuliman

doi:10.7759/cureus.48448

Upper Gastrointestinal Bleeding Secondary to Duodenal Wall Perforation by Inferior Vena Cava Filter: A Rare Clinical Presentation

Cureus. 2023 Nov 7;15(11):e48448. doi: 10.7759/cureus.48448. eCollection 2023 Nov.

Authors

Hazem Abosheaishaa^{1

2}, Utsow Saha³, Omar Abdelhalim⁴, Nuha Al-Howthi⁴, Ahmed Elhawary¹, Mohammed Abusuliman⁵

Affiliations

¹ Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York, USA.
² Internal Medicine/Gastroenterology, Cairo University, Cairo, EGY.
³ Medical Education, Enam Medical College and Hospital, Rangpur, BGD.
⁴ Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York, USA.
⁵ Internal Medicine, Henry Ford Health System, Detroit, USA.

Abstract

Patients with venous thromboembolism (VTE) frequently employ inferior vena cava (IVC) filters to keep them from getting pulmonary embolisms. Even though they are usually thought to be safe, there can be complications during or after their placement. IVC filter perforation into adjacent structures, such as the duodenum, is an uncommon but potentially serious complication. We present a case of a 62-year-old female with a past medical history of recurrent deep vein thrombosis (DVTs) and pulmonary embolism who presented with dizziness and dyspnea due to gastrointestinal (GI) bleeding, resulting in anemia. Esophagogastroduodenoscopy (EGD) was done and revealed a metallic object extending into the duodenum, identified as the IVC filter.

Keywords: duodenal wall perforation; endoscopy; esophagogastroduodenoscopy; ivc filter; upper gastrointestinal bleeding.

Publication types

Case Reports