Nearly 90° from Normal

      A 58-year-old man with a history of proximal lower-extremity deep venous thrombosis presented for evaluation of sharp abdominal pain. It began several months earlier, immediately after permanent placement of an inferior vena caval filter for prevention of pulmonary embolism. He also reported recurrent melena in the period following the procedure. Deep palpation of the right lower quadrant elicited abdominal pain, but the patient’s physical examination was otherwise unremarkable.
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