Figure 1.

A 22-year-old male patient with ulcerative colitis who developed a spontaneous left lower-extremity DVT. He was treated with OAT and developed hematochezia. Because of this and upcoming planned colectomy, his surgeons requested an IVC filter. The cavagram was performed from the right common femoral vein and shows a large free-floating iliocaval thrombus. Using a right internal jugular approach a suprarenal Greenfield IVC filter was placed and the patient underwent uneventful colectomy. The risk of PE in such settings despite OAT is somewhat controversial.