Recurrence of pulmonary embolism in young man with retroperitoneal tumor despite insertion of temporary IVC filter.
Pulmonary embolism (PE) is a fatal disease that is very rare in young people. A 21-year-old man developed PE because of a retroperitoneal tumor. The inferior vena cava (IVC) was obstructed by the tumor, and thrombus existed in the right common iliac vein. Thrombolysis and heparinization improved his symptoms prior to urgent tumor resection. A temporary IVC filter was inserted the day before the operation, but 8 h later fatal massive PE occurred. At autopsy, the retroperitoneal tumor was revealed as a metastatic choriocarcinoma. Prophylactic use of a temporary IVC filter might have paradoxically induced recurrence of massive PE in this case.
Natsuaki
Masahiro
M
Department of Cardiology, Saiseikai Fukuoka Hospital, Chuo-ku, Fukuoka, Japan. natsuaki@saiseikai-hp.chuo.fukuoka.jp
Numaguchi
Kotaro
K
Tada
Hideo
H
Nakashima
Yuichiro
Y
Okabe
Masanori
M
Yamamoto
Yusuke
Y
D000925:Anticoagulants / Q000627:therapeutic use; D001344:Autopsy; D002822:Choriocarcinoma / Q000150:complications* / Q000556:secondary / Q000601:surgery; D004452:Echocardiography; D017809:Fatal Outcome; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D055420:Perfusion Imaging; D011655:Pulmonary Embolism / Q000209:etiology* / Q000517:prevention & control; D012008:Recurrence; D012186:Retroperitoneal Neoplasms / Q000150:complications* / Q000556:secondary / Q000601:surgery; D012770:Shock, Cardiogenic / Q000209:etiology; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D016306:Vena Cava Filters / Q000009:adverse effects*; D014682:Vena Cava, Inferior / Q000473:pathology*; D020246:Venous Thrombosis / Q000209:etiology; D055815:Young Adult
D000925:Anticoagulants; D006493:Heparin