A Case of Vena Cava Filter for Sigmoid Colon Cancer Complicated by Deep Venous Thrombosis for Preventing Pulmonary Embolism -Review of the Japanese Cases of Vena Cava Filter for Colon Cancer-

Masahiko Ohata, Masanobu Maruyama, Naoto Saitou, Hiroshi Ishii, Masaki Ohori, Toshitaka Furukawa, Yasuyuki Tokura, Makoto Taga* and Isamu Koyama*

Department of Surgery, Maruyama Memorial General Hospital
Department of Surgery, Saitama Medical School*

A 76-year-old woman admitted for appetite loss and a fever. A catheter was inserted via the left femoral vein. Abdominal CT showed an abscess in the right hepatic lobe. Percutaneous drainage of the liver abscess was done and contrast material via a drainage tube showed a radiolucent mass in the common bile duct, necessitating duodenal sphincterectomy by endoscopy. After this, the patient suffered abdominal ileus. Colonoscopy showed a type 2 tumor in the sigmoid colon. As the left limb swelled, becoming discolored and painful, the catheter was removed. And CT detected deep venous thrombosis in the bilateral femoral vein. Before surgery, we implanted a vena cava filter to prevent pulmonary embolism. Hartmann's procedure was done 85 days after admission. The patient's recovery was uneventful. Implantation of a vena cava filter for preventing pulmonary embolism, especially in a patient who had colorectal cancer complicated by deep venous thrombosis, thus appears beneficial. We review the Japanese cases of vena cava filter for colon cancer.

Key words
deep venous thrombosis, vena cava filter, colon cancer

Reprint requests
Masahiko Ohata Department of Surgery, Maruyama Memorial General Hospital
2-10-5 Honcho, Iwatsuki, 339-8521 JAPAN

Accepted
October 19, 2004

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