Robert J. Feezor, MDa, Thomas S. Huber, MD, PhDa, M

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Duodenal perforation with an inferior vena cava filter: An unusual cause of abdominal pain Robert J. Feezor, MDa, Thomas S. Huber, MD, PhDa, M.Burress Welborn, MDa, Scott R. Schell, MD, PhDa,b,c Journal of Vascular Surgery Volume 35, Issue 5, Pages 1-3 (May 2002) DOI: 10.1067/mva.2002.121567 Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Angiographic imaging of inferior vena cava filters. Plane abdominal x-ray shows upper and lower inferior vena cava filters. White arrowheads indicate tips of each filter. Journal of Vascular Surgery 2002 35, 1-3DOI: (10.1067/mva.2002.121567) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Endoscopic imaging of perforating inferior vena cava strut. A, Tip of inferior vena cava strut (white arrow) projecting into duodenum. B, Clearer evidence of strut tip (white arrow) after removal of overlying inflammatory tissue. Journal of Vascular Surgery 2002 35, 1-3DOI: (10.1067/mva.2002.121567) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 A, Venogram shows inferior vena cava filters (black arrows) and patent inferior vena cava. B, Digital substraction venogram reveals significant thrombus. Journal of Vascular Surgery 2002 35, 1-3DOI: (10.1067/mva.2002.121567) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Intraoperative images of inferior vena cava (IVC) strut penetrating duodenum. A, Duodenum (Du) with inflammation at point of attachment to vena cava (VC). IVC strut is visible at white arrowhead. B, IVC strut is clearly visible between arrowheads after mobilization of duodenum off vena cava. Journal of Vascular Surgery 2002 35, 1-3DOI: (10.1067/mva.2002.121567) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions