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Hemorrhagic Shock with Delayed Retroperitoneal Hemorrhage After Deployment of an Inferior Vena Cava Filter: Report of a Case

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Abstract

Although inferior vena cava (IVC) filter placement has demonstrated an excellent therapeutic efficacy in preventing pulmonary embolism, several filter-related complications have been reported. Among them, retroperitoneal hemorrhage due to IVC perforation is one of the most serious complications. We report herein a female patient who underwent TrapEase IVC filter placement with anticoagulation and thrombolytic therapy for treatment of pulmonary embolism, and later demonstrated hemorrhagic shock 5 days after filter placement. The patient's blood pressure stabilized after the anticoagulant therapy was stopped and she received a blood transfusion. We should therefore carefully observe patients after IVC filter placement, particularly those receiving simultaneous anticoagulation therapy.

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Authors and Affiliations

  1. Division of Vascular Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka, 431-3192, Japan

    Kazunori Inuzuka, Naoki Unno, Naoto Yamamoto, Hiroshi Mitsuoka, Daisuke Sagara, Minoru Suzuki & Motohiro Nishiyama

  2. Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka, 431-3192, Japan

    Kazunori Inuzuka, Naoki Unno, Naoto Yamamoto, Hiroshi Mitsuoka, Daisuke Sagara, Minoru Suzuki, Motohiro Nishiyama & Hiroyuki Konno

Authors
  1. Kazunori Inuzuka
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  2. Naoki Unno
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  3. Naoto Yamamoto
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  4. Hiroshi Mitsuoka
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  5. Daisuke Sagara
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  6. Minoru Suzuki
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  7. Motohiro Nishiyama
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  8. Hiroyuki Konno
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Inuzuka, K., Unno, N., Yamamoto, N. et al. Hemorrhagic Shock with Delayed Retroperitoneal Hemorrhage After Deployment of an Inferior Vena Cava Filter: Report of a Case. Surg Today 37, 618–621 (2007). https://doi.org/10.1007/s00595-006-3450-z

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  • DOI: https://doi.org/10.1007/s00595-006-3450-z

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