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.

[1]  H. Nagawa,et al.  Clinical outcome and complications of temporary inferior vena cava filter placement. , 2006, Journal of vascular surgery.

[2]  T. Satoh,et al.  [A patient with pulmonary thromboembolism after cesarean section, inspite of having a temporary IVC filter inserted]. , 2004, Masui. The Japanese journal of anesthesiology.

[3]  D. Rosenthal,et al.  Renal cell carcinoma invading the inferior vena cava: use of a "temporary" vena cava filter to prevent tumor emboli during nephrectomy. , 2004, Urology.

[4]  B. Hillner,et al.  Current practice of temporary vena cava filter insertion: a multicenter registry. , 2000, Journal of vascular and interventional radiology : JVIR.

[5]  B. Hassan,et al.  The management of inferior vena cava obstruction complicating metastatic germ cell tumors , 1999, Cancer.

[6]  A. Gotoh,et al.  Renal angiomyolipoma associated with inferior vena caval tumour thrombus. , 1998, British journal of urology.

[7]  T. Ahlering,et al.  Vena caval resection for bulky metastatic germ cell tumors: an 18-year experience. , 1997, The Journal of urology.

[8]  J. Stein,et al.  Adrenal cortical carcinoma associated with venous tumour thrombus extension. , 1997, British journal of urology.

[9]  C. Dinney,et al.  Surgical management of renal cell carcinoma with inferior vena cava tumor thrombus. , 1997, The Annals of thoracic surgery.

[10]  P. Fidias,et al.  Intracaval extension of germ cell carcinoma: diagnosis via endovascular biopsy and a review of the literature. , 1997, European urology.

[11]  M. Rizzetto,et al.  Pulmonary embolism due to compression of the inferior vena cava by a hepatic hemangioma. , 1993, Texas Heart Institute journal.

[12]  A. Livingstone,et al.  Mature testicular teratoma with vena caval invasion presenting as pulmonary embolism. , 1993, The Journal of urology.

[13]  P. Choyke,et al.  From the archives of the AFIP. Leiomyosarcoma of the retroperitoneum and inferior vena cava: radiologic-pathologic correlation. , 1992, Radiographics : a review publication of the Radiological Society of North America, Inc.

[14]  D. Raghavan,et al.  Neoplastic venous involvement and pulmonary embolism in patients with germ cell tumors , 1991, Cancer.

[15]  R. Sharifi,et al.  Inferior vena cava thrombosis. Unusual presentation of testicular tumor. , 1988, Urology.

[16]  J. Lynch,et al.  Thrombosis of the inferior vena cava by seminoma. , 1987, The Journal of urology.