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Pelvic Hematoma With Acute Hemorrhage Secondary to Inferior Vena Cava Filters

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 bi...

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Detalles Bibliográficos
Autores principales: Pokharel, Pallavi, Araim, Fawaz, Adekunle, Faith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627731/
https://www.ncbi.nlm.nih.gov/pubmed/37937029
http://dx.doi.org/10.7759/cureus.46652
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author Pokharel, Pallavi
Araim, Fawaz
Adekunle, Faith
author_facet Pokharel, Pallavi
Araim, Fawaz
Adekunle, Faith
author_sort Pokharel, Pallavi
collection PubMed
description 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.
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spelling pubmed-106277312023-11-07 Pelvic Hematoma With Acute Hemorrhage Secondary to Inferior Vena Cava Filters Pokharel, Pallavi Araim, Fawaz Adekunle, Faith Cureus Cardiac/Thoracic/Vascular Surgery 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. Cureus 2023-10-07 /pmc/articles/PMC10627731/ /pubmed/37937029 http://dx.doi.org/10.7759/cureus.46652 Text en Copyright © 2023, Pokharel et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Pokharel, Pallavi
Araim, Fawaz
Adekunle, Faith
Pelvic Hematoma With Acute Hemorrhage Secondary to Inferior Vena Cava Filters
title Pelvic Hematoma With Acute Hemorrhage Secondary to Inferior Vena Cava Filters
title_full Pelvic Hematoma With Acute Hemorrhage Secondary to Inferior Vena Cava Filters
title_fullStr Pelvic Hematoma With Acute Hemorrhage Secondary to Inferior Vena Cava Filters
title_full_unstemmed Pelvic Hematoma With Acute Hemorrhage Secondary to Inferior Vena Cava Filters
title_short Pelvic Hematoma With Acute Hemorrhage Secondary to Inferior Vena Cava Filters
title_sort pelvic hematoma with acute hemorrhage secondary to inferior vena cava filters
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627731/
https://www.ncbi.nlm.nih.gov/pubmed/37937029
http://dx.doi.org/10.7759/cureus.46652
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