Document Detail

Successful percutaneous thrombectomy of an infected vena-caval thrombus due to a toothpick.
MedLine Citation:
PMID:  21784602     Owner:  NLM     Status:  MEDLINE    
We report a case of a 25-year-old Caucasian female with a septic thrombosis in the inferior vena cava (IVC) which contained a toothpick. She was admitted with fever and abdominal pain for 2 weeks. Computed tomography scan showed thrombus with air density in the suprarenal IVC. However, there was no evidence of duodenocaval fistula. Because of the patient's reluctance for surgery, endovascular therapy was tried. A partially-deployed nitinol stent was used as a filter, and aspiration thrombectomy was performed. Unexpectedly, a toothpick was retrieved within the stent. Anticoagulants and antibiotics were administered. A follow-up computed tomography after 2 months showed total resolution of the residual thrombus.
Seong-Yup Kim; Hyo-Cheol Kim; Myoung-Don Oh; Jin Wook Chung; Sang Joon Kim; Seung-Kee Min
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-07-23
Journal Detail:
Title:  Journal of vascular surgery     Volume:  54     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-10-26     Completed Date:  2011-12-15     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1498-500     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
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MeSH Terms
Abdominal Pain / etiology
Anticoagulants / therapeutic use
Antifungal Agents / therapeutic use
Candida albicans / isolation & purification
Endovascular Procedures*
Fever / etiology
Foreign-Body Migration / complications,  radiography,  therapy*
Phlebography / methods
Sepsis / microbiology,  radiography,  therapy*
Tomography, X-Ray Computed
Treatment Outcome
Vascular System Injuries / etiology,  radiography,  therapy*
Vena Cava, Inferior* / injuries,  microbiology,  radiography
Venous Thrombosis / microbiology,  radiography,  therapy*
Wounds, Penetrating / etiology,  radiography,  therapy*
Reg. No./Substance:
0/Anticoagulants; 0/Antifungal Agents

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