2006 Volume 17 Issue 1 Pages 47-51
A 60-year-old man, who had malignant lymphoma combined with pulmonary embolism due to deep venous thrombosis, was reported. The patient underwent an inferior vena caval filter insertion combined with anticoagulant therapy. After discharging our hospital, the anticoagulant was discontinued for starting a chemotherapy of malignant lymphoma. The patient complained of lumbago and gait disturbance 45 days after discharge from our hospital. The abdominal CT revealed the filter occlusion by caval thrombosis. The patient was treated again with fibrinolytic and anticoagulant therapy in our hospital. Symptom was disappeared after the treatment. The detection of deep venous thrombosis and pulmonary embolism became easy due to diagnosis device development, such as CT. Frequency to use caval filter appliance with increase of deep venous thrombosis is increasing, and the serious complications of filter are recently reported in the literature. In this case, the use of the filter was thought to be successful to improve his life convalescence, though his vena cava was occluded.
