Perforation from an inferior vena cava filter with six legs

A 62-year-old woman presented with a chief complaint of unhealed ulcers of the left lower extremity for >6 months. She was hospitalized in a local hospital in 2008 due to left iliofemoral deep vein thrombosis with extension into the inferior vena cava (IVC). She subsequently developed pulmonary embolism despite being anticoagulated. The patient underwent a TRAPEASE IVC placement filter (Cordis, Miami Lakes, FL) and started on oral anticoagulant medication using warfarin. She has not been followed up for 16 years postoperatively.