Injury to the inferior vena cava as a complication of ureteral splint insertion – case report

2019 ◽  
Vol 98 (8) ◽  
pp. 335-338

The authors describe a rare complication of ureteral stenting is the case study of a patient admitted to the hospital for congestion in the outlet system of both kidneys due to external ureteral compression by tumorous mass in the retroperitoneum. Histology confirmed the B-lymphoma of the retroperitoneum as a cause of the patient‘s problems. The ureteral stent was perforated in the course of inserting the stent into the ureter and the end of the splint was introduced into the inferior vena cava. The patient was asymptomatic, and this complication was detected as late as on day 12 on the follow-up CT scan. Stent extraction was without complications and without bleeding.

2013 ◽  
Vol 62 (18) ◽  
pp. B158
Author(s):  
Paolo M. Ravagnani ◽  
Piero Montorsi ◽  
Stefano Galli ◽  
Giovanni Ballerini ◽  
Gianluca Pontone ◽  
...  

2006 ◽  
Vol 13 (03) ◽  
pp. 472-475
Author(s):  
LIAQUAT ALI ◽  
ZAHEER AHMED

We present hereby a case report of 65 years old female scheduled for laparotomy for excision ofhydatid cyst liver diagnosed on ultrasonography and CT scan, but on laparotomy unexpectedly it turned out to bepheochromocytoma right adrenal and was further complicated by rupture of tumour, avulsion of inferior vena cava,massive haemorrhage, leading to cardiac arrest. Detailed in this report is the management of unexpectedpheochromocytoma, treatment of acute severe haemorrhage with massive transfusion and resuscitation and revivalof patient from cardiac arrest with CPR.


2019 ◽  
Vol 62 (1) ◽  
pp. 19-22
Author(s):  
José Eduardo Telich-Tarriba ◽  
◽  
Rodrigo Bolaños-Jiménez ◽  
Jorge Arizmendi-Vargas ◽  
Alejandra Martínez-Schulted ◽  
...  

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Anas Abudan ◽  
Brent Kidd ◽  
Peter Hild ◽  
Bhanu Gupta

Abstract Background Inferior vena cava (IVC) obstruction is a rare complication of orthotopic heart transplantation (OHT) and is unique to bicaval surgical technique. The clinical significance, diagnosis, complications, and management of post-operative IVC anastomotic obstruction have not been adequately described. Case summary Two patients with end-stage heart failure presented for bicaval OHT. Post-operative course was complicated with shock refractory to fluid resuscitation and inotropic/vasopressor support. Obstruction at the IVC-right atrial (RA) anastomosis was diagnosed on transoesophageal echocardiography (TOE), prompting emergent reoperation. In both cases, a large donor Eustachian valve was found to be restricting flow across the IVC-RA anastomosis. Resection of the valve resulted in relief of obstruction across the anastomosis and subsequent improvement in haemodynamics and clinical outcome. Discussion Presumably rare, we present two cases of IVC obstruction post-bicaval OHT. Inferior vena cava obstruction is an under-recognized cause of refractory hypotension and shock in the post-operative setting. Prompt recognition using TOE is crucial for immediate surgical correction and prevention of multi-organ failure. Obstruction can be caused by a thickened Eustachian valve caught in the suture line at the IVC anastomosis, which would require surgical resection.


2021 ◽  
pp. 152660282110250
Author(s):  
Yun Chul Park ◽  
Hyoung Ook Kim ◽  
Nam Yeol Yim ◽  
Byung Chan Lee ◽  
Chan Park ◽  
...  

Purpose The treatment of suprahepatic inferior vena cava (IVC) ruptures results in high mortality rates due to difficulty in performing the surgical procedure. Here, we present a case of successful endovascular management of a life-threatening suprahepatic IVC rupture with top-down placement of a stent graft. Case Report A 33-year-old woman was involved in a traffic accident and presented to our emergency department due to unstable hemodynamics after blunt abdominal wall trauma. Computed tomography (CT) revealed massive extravasation of contrast agent from the suprahepatic IVC, which suggested traumatic suprahepatic IVC rupture. To seal the IVC, to salvage major hepatic veins, and to prevent migration of the stent graft into the right side of the heart after placement, an aortic cuff with a proximal hook was introduced in a top-down direction via the right internal jugular vein. After closure of the injured IVC, the patient’s hemodynamics improved, and additional laparotomy was performed. After 3 months of trauma care, the patient recovered and was discharged. Follow-up CT after 58 months showed a patent stent graft within the IVC. Conclusion Endovascular management with top-down placement of a stent graft is a viable option for emergent damage control in patients with life-threatening hemorrhage from IVC rupture.


2017 ◽  
Vol 85 (4) ◽  
pp. 361-365
Author(s):  
José Antonio López-Ruiz ◽  
Luis Tallón-Aguilar ◽  
Beatriz Marenco-de la Cuadra ◽  
José López-Pérez ◽  
Fernando Oliva-Mompeán ◽  
...  

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