Abstract
Inferior vena cava (IVC) filters are ordinarily used to prevent pulmonary embolism (PE) in patients with contraindications to anticoagulation or those with an experience of bleeding after anticoagulation therapy. We present a 54-year-old female with a complex medical history, including diabetes mellitus, who developed acute deep vein thrombosis (DVT) after right common femoral vein (RCFV) catheter insertion, necessitating intravenous Heparin therapy. Anticoagulation was discontinued due to gastrointestinal bleeding, prompting inferior vena cava (IVC) filter insertion. Prolonged dwell time led to filter penetration into the abdominal aorta with partial thrombosis, identified on imaging before planned retrieval. The patient underwent open surgery with filter removal and aortic repair using a Dacron patch. This case emphasizes the role of regular follow-up imaging and timely intervention in preventing life-threatening complications of filter retention.