J Korean Radiol Soc.  2006 Jun;54(6):477-481. 10.3348/jkrs.2006.54.6.477.

Spontaneous Rupture of the Left Common Iliac Vein: Management with Surgical Repair and Endovascular Stent

• Kim YH
• Lee SK
• Ko SM
• Choi JS
• Koo JH
• Kim HT
• Cho WH

• KMID: 2024562
• DOI: http://doi.org/10.3348/jkrs.2006.54.6.477

Abstract

We report here on a case of spontaneous rupture of the left common iliac vein that was diagnosed preoperatively with computed tomography (CT), and the patient was successfully treated with surgery and stent placement. A 60-year-old woman was referred to our emergency room because of sudden left lower abdominal pain and swelling of the left lower extremity. CT revealed a huge retroperitoneal hematoma and extrinsic compression of the left common iliac vein with acute thrombosis of the deep veins of the left lower extremity. Venous patch angioplasty was performed at the site of spontaneous rupture. After performing thrombectomy with using a Forgaty catheter, a stent was placed at the occluded segment of the left common iliac vein under C-arm fluoroscopic guidance. The follow-up CT scans taken at 10 days and 8 months after the initial examination demonstrated a venous stent with preserved luminal patency and the striking resolution of the deep vein thrombosis of the left lower extremity.

Keyword

Veins, stenosis or obstruction; Stents and prostheses

MeSH Terms

Abdominal Pain
Angioplasty
Catheters
Emergency Service, Hospital
Female
Follow-Up Studies
Hematoma
Humans
Iliac Vein*
Lower Extremity
Middle Aged
Phenobarbital
Rupture, Spontaneous*
Stents*
Strikes, Employee
Thrombectomy
Thrombosis
Tomography, X-Ray Computed
Veins
Venous Thrombosis
Phenobarbital