{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T01:40:44Z","timestamp":1755826844417,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,8,7]]},"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>We discuss the complications associated with inferior vena cava (IVC) filters, focusing on a female patient in her mid-30s who presented to the emergency department with a history of hypercoagulable state and recurrent deep vein thrombosis. She had an IVC filter placed, followed by an IVC stent years later. The patient presented with severe lower back pain radiating to her right leg and back spasms. Investigations revealed an IVC filter tine extruding into the L3\u2013L4 disc space, causing discitis-osteomyelitis, an intraosseous abscess and a psoas abscess. Another tine caused mild hydronephrosis by abutting the ureter. Methicillin-resistant <jats:italic>Staphylococcus aureus<\/jats:italic> was cultured from a disc aspirate. After initial antibiotic treatment, her spinal instability worsened, necessitating complex spinal surgery to remove three filter tines. This case highlights the significant risks of IVC filters, including fracture and organ perforation, and emphasises the critical importance of timely filter removal to prevent serious, though sometimes rare, outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2024-264581","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T08:30:16Z","timestamp":1755765016000},"page":"e264581","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["IVC filter migration causing discitis, psoas abscess and hydronephrosis: improving IVC filter retrieval rates"],"prefix":"10.1136","volume":"18","author":[{"given":"Jeffrey L","family":"Beasley","sequence":"first","affiliation":[{"name":"Internal Medicine, University of Kansas Hospital, Kansas City, Kansas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitchell","family":"Walters","sequence":"additional","affiliation":[{"name":"Internal Medicine, The University of Kansas Medical Center, Kansas City, Kansas, USA"},{"name":"Lenexa, Kansas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"2025082101300594000_18.8.e264581.1","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.amjcard.2023.06.075","article-title":"Trends in Pulmonary Embolism Deaths Among Young Adults Aged 25 to 44 Years in the United States, 1999 to 2019","volume":"202","author":"Zuin","year":"2023","journal-title":"Am J Cardiol"},{"key":"2025082101300594000_18.8.e264581.2","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.jvsv.2018.08.006","article-title":"Persistently low inferior vena cava filter retrieval rates in a population-based cohort","volume":"7","author":"Mohapatra","year":"2019","journal-title":"J Vasc Surg Venous Lymphat Disord"},{"key":"2025082101300594000_18.8.e264581.3","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.jvsv.2016.07.002","article-title":"Long-term complications of inferior vena cava filters","volume":"5","author":"Wang","year":"2017","journal-title":"J Vasc Surg Venous Lymphat Disord"},{"key":"2025082101300594000_18.8.e264581.4","first-page":"3","article-title":"A fractured inferior vena cava filter strut migrating to the left pulmonary artery","volume":"16","author":"Hudali","year":"2015","journal-title":"Respir Med Case Rep"},{"key":"2025082101300594000_18.8.e264581.5","doi-asserted-by":"crossref","first-page":"292","DOI":"10.12659\/AJCR.893541","article-title":"IVC filter perforation through the duodenum found after years of abdominal pain","volume":"16","author":"Jehangir","year":"2015","journal-title":"Am J Case Rep"},{"key":"2025082101300594000_18.8.e264581.6","doi-asserted-by":"crossref","unstructured":"Mehanni S , Higley M , Schenning RC . 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