Anat Cell Biol.  2018 Dec;51(4):309-311. 10.5115/acb.2018.51.4.309.

Dangerous twisted communications between external and internal iliac veins which might rupture during catheterization

• Nayak SB

• KMID: 2430201
• DOI: http://doi.org/10.5115/acb.2018.51.4.309

Abstract

In this report, four unusual communications between external and internal iliac veins of the left side have been presented. The lowest communication was the narrowest measuring about 2 mm in diameter, the second measured 6 mm, the third had a diameter of 7 mm and the last communication measured 5 mm in breadth. The upper three communications were twisted in a helical manner. The internal iliac vein had its normal tributaries except that the iliolumbar vein drained into the external iliac vein at the level of the third communication. The external iliac vein was slightly dilated just below the level of lowest communication.

Keyword

Iliac vein; Communication; Cardiology; Radiology; Pelvic vessels

MeSH Terms

Cardiology
Catheterization*
Catheters*
Iliac Vein*
Rupture*
Veins

Figure

• 

  Fig. 1 Photograph of dissection of left iliac vessels in the left hemipelvis. Asterisks are showing four unusual communications between the external and internal iliac veins. CIA, common iliac artery; CIV, common iliac vein; EIA, external iliac artery; EIV, external iliac vein; IIA, internal iliac artery; IIV, internal iliac vein; ILA, iliolumbar artery; ILC, iliacus; ON, obturator nerve; PM, psoas major; SGA, superior gluteal artery.

• 

  Fig. 2 Photograph of dissection of left iliac vessels after their removal from the pelvis. CIV, common iliac vein; EIV, external iliac vein; IIV, internal iliac vein; ILV, iliolumbar vein; 1, 2, 3, and 4, the unusual communications between external and internal iliac veins. Note the twisted nature of these communications.

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