J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 491KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 94(4): 427-430, 1993

Case report

CATHETER-INDUCED THROMBOSIS OF THE INFERIOR VENA CAVA ―A CASE REPORT―

1) Department of Cardiovascular Surgery, Matsuyama Red Cross Hospital, Matsuyama, Japan
2) Surgery, Matsuyama Red Cross Hospital, Matsuyama, Japan

Hiroyuki Kohno1), Kanzi Matsui1), Kenzo Wakasugi2), Toshimitsu Matsuzaka2), Yutaka Fujinaga2)

A 47-year-old woman was admitted for bleeding from gastric ulcer for which a central venous catheter was placed through the right femoral vein. Seven days later, abdominal echograms unexpectedly revealed a large thrombus along the catheter in the inferior vena cava. Because the echograms also disclosed the thrombus immobile even in postural change, the catheter was pulled out. Within two weeks following the catheter removal, the thrombus spontaneously disappeared with no evidence of pulmonary embolism. Although thrombolysis therapy may be the treatment of choice for catheter-induced thrombosis, simple removal of the catheter is effective in case that the thrombus is immobile.

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