Abstract
We experimented with a vena cava filter for colon cancer compicated by pulmonary thromboembolism. The patient was a 78-year-old woman. When she was admitted to our hospital with pulmonary thromboembolism, anemia was pointed out and colon cancer was diagnsoed. In perioperatie management we gave her an anticoagulant and thrombolytic therapy and implanted a vena cava filter to prevent recurrence. Right colectomy was performed 37 days after admission. There has been no sign of recurrence of pulmonary thromboembolism or colon cancer, as of 2 years after surgery. In perioperative management for such a patient, the most important problem is to prevent recurrent pulmonary thromboembolism, but there have been no papers dealing with its perioperative management. Therefore, based on this case, we discussed thisproblem. Anticoagulant therapy plus the vena cava filter was effective. Especially we considered that the vena cava filter was beneficial for preventing recurrent pulmonary thromboembolism.
