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Archives of General Internal Medicine | Volume 2
&
April 04-05, 2018 | Miami, USA
International Conference on
Internal Medicine & Practice and Primary Care
International Meeting on
Breast Pathology & Cancer Diagnosis
I
nferior vena cava filter (IVCF) is widely used for patients
with deep vein thrombosis (DVT) and pulmonary embolism
(PE) who are not candidates for anticoagulation which is the
preferred treatment. The application of IVC filters seems
to have decreased over the years. Many complications
are associated with IVCF including thrombosis and filter
migration into the right atrium, pulmonary artery, right
gonadal vein and lumbar veins. We present a case of anuric
acute renal failure due to bilateral renal vein thrombosis
from IVCF migration. A 68 years old male with a past medical
history of DVT, PE with IVCF, 5 years ago, diabetes mellitus,
hypertension, obstructive sleep apnea presented to the
emergency department with severe back pain. Patient
started to have severe lower back, present throughout the
day, constant, non-radiating and associated with nausea and
vomiting. Patient was noted to have anuria and worsening
azotemia. The patient was started on hemodialysis. Further
work-up revealed extensive bilateral proximal DVT on
Doppler ultrasound. Computerized axial tomography (CT)
abdomen showed features of bilateral renal vein thrombosis
in the context of IVCF transverse migration occluding both
renal veins. Heparin drip was started. The patient underwent
an angiogram with thrombectomy. His kidney function and
urine output started to improve, and the patient was taken
off dialysis. IVCF migration is a rare complication and was
reported in minimal number of case reports. A previous
case report showed filter migrated to a suprarenal position
inside IVC causing bilateral renal vein thrombosis causing
acute renal failure. Our case showed migration of IVCF into a
transverse position within the renal veins bilaterally resulting
in renal shut down.
Speaker Biography
Ahmed Elshazly MD has graduated from medical school during 2012, and then was a
research fellow for 2 years between Albert Einstein College of Medicine, Mayo Clinic
and West Virginia University. He is currently doing internal medicine residency at
Atlantic Care Regional Hospital, Atlantic City, NJ.
e:
aelshazly5@gmail.comLatrogenic bilateral renal vein thrombosis
Ahmed Elshazly
Atlantic Care Regional Hospital, USA