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Case Reports
. 2019 Apr 30;1(4):252-256.
doi: 10.19779/j.cnki.2096-3602.2018.04.10. eCollection 2018 Nov.

Retroperitoneal hematoma after implantation of double inferior vena cava filters

Yulong Tian  1   2 , Hongshan Zhong  1   2 , Wei Zhang  3
Affiliations
Case Reports

Retroperitoneal hematoma after implantation of double inferior vena cava filters

Yulong Tian et al. J Interv Med. .

Abstract

A 55-year-old man developed deep venous thrombosis and inferior vena cava (IVC) thrombosis 7 years earlier and was treated by placement of a permanent IVC filter. One week ago, he was admitted with bilateral lower limb swelling and pain. Digital subtraction angiography showed a filling defect above the original filter. A retrievable Tulip filter was placed and catheter-directed thrombolysis was performed. Six days later, the patient experienced sudden, persistent upper right abdominal pain, and a computed tomography scan revealed the formation of retroperitoneal hematoma. Symptomatic treatments were administered, and the hematoma gradually resolved during follow-up.

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Figures

Figure 1.
Figure 1.
Abdominal X-ray showing permanent inferior vena cava filter.
Figure 2.
Figure 2.
Venography showing left lower extremity DVT and thrombosis in the IVC.
Figure 3.
Figure 3.
Retroperitoneal hematoma along with the struts of filter.
Figure 4.
Figure 4.
Unobstructed vena cava.
Figure 5.
Figure 5.
Retroperitoneal hematoma absorbed gradually 2 months after discharge.
Figure 6.
Figure 6.
Further shrinkage of retroperitoneal hematoma 3 months after discharge.
Figure 7.
Figure 7.
Retroperitoneal hematoma disappear at 6 months.
Figure 8.
Figure 8.
Unobstructed vena cava and no recurrent thrombus.
See this image and copyright information in PMC

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References

    1. Wang SL, Lloyd AJ. Clinical review: inferior vena cava filters in the age of patient-centered outcomes. Ann Med. 2013;45:474–481. - PubMed
    1. Sing RF, Fischer PE. Inferior vena cava filters: indications and management. Curr Opin Cardiol. 2013;28:625–631. - PubMed
    1. Hanlon D. An evidence-based approach to managing the anticoagulated patient in the emergency department. Emerg Med Pract. 2011;13:1–19. quiz 19. - PubMed
    1. Piecuch, Wiewiora, Nowowiejska W, et al. Perforation of inferior vena cava during filter placement. Vasa. 2011;40:157–162. - PubMed
    1. Ivascu FA, Janczyk RJ, Bair HA, et al. Spontaneous retroperitoneal hemorrhage. Am J Surg. 2005;189:345–347. - PubMed

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