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Inferior vena cava filter fracture: potential liability for emergency physicians.

Pescatore RM, Baumann BM, Nocchi D - West J Emerg Med (2015)

View Article: PubMed Central - PubMed

Affiliation: Cooper University Hospital, Department of Emergency Medicine, Camden, New Jersey.

No MeSH data available.


Related in: MedlinePlus

Sagittal computed tomography view of lumbosacral spine. Arrowhead demonstrates fracture and displacement of the posterolateral inferior vena cava filter leg.
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f2-wjem-16-240: Sagittal computed tomography view of lumbosacral spine. Arrowhead demonstrates fracture and displacement of the posterolateral inferior vena cava filter leg.

Mentions: A 58-year-old female presented to the emergency department complaining of low back pain following a motor vehicle crash. She denied loss of consciousness, headache, or extremity weakness. Her past medical history was notable for inferior vena cava (IVC) filter placement many years ago due to multiple pregnancy-associated deep venous thromboses (DVTs). Physical exam was unrevealing: no spinal point tenderness and a nonfocal neurologic exam. Posteroanterior lumbosacral radiograph demonstrated fracture and displacement of the posterolateral IVC filter leg (Figure 1). Computed tomography showed the filter leg to be perforated through the IVC (Figure 2). After consultation with the interventional radiologist, it was decided that the risks of retrieval outweighed potential benefits, and the patient was discharged for outpatient monitoring of the fractured limb.


Inferior vena cava filter fracture: potential liability for emergency physicians.

Pescatore RM, Baumann BM, Nocchi D - West J Emerg Med (2015)

Sagittal computed tomography view of lumbosacral spine. Arrowhead demonstrates fracture and displacement of the posterolateral inferior vena cava filter leg.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4380372&req=5

f2-wjem-16-240: Sagittal computed tomography view of lumbosacral spine. Arrowhead demonstrates fracture and displacement of the posterolateral inferior vena cava filter leg.
Mentions: A 58-year-old female presented to the emergency department complaining of low back pain following a motor vehicle crash. She denied loss of consciousness, headache, or extremity weakness. Her past medical history was notable for inferior vena cava (IVC) filter placement many years ago due to multiple pregnancy-associated deep venous thromboses (DVTs). Physical exam was unrevealing: no spinal point tenderness and a nonfocal neurologic exam. Posteroanterior lumbosacral radiograph demonstrated fracture and displacement of the posterolateral IVC filter leg (Figure 1). Computed tomography showed the filter leg to be perforated through the IVC (Figure 2). After consultation with the interventional radiologist, it was decided that the risks of retrieval outweighed potential benefits, and the patient was discharged for outpatient monitoring of the fractured limb.

View Article: PubMed Central - PubMed

Affiliation: Cooper University Hospital, Department of Emergency Medicine, Camden, New Jersey.

No MeSH data available.


Related in: MedlinePlus