J Trauma Inj.  2023 Jun;36(2):157-160. 10.20408/jti.2022.0039.

Endovascular treatment of traumatic iliac venous injury combined with phlegmasia cerulea dolens in Korea: a case report

Affiliations
  • 1Department of Radiology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
  • 2Department of Trauma Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea

Abstract

Traumatic iliac venous injury is rare but can be fatal. Although surgical management is considered a primary treatment method, urgent treatment is required when deep venous thrombosis and subsequent phlegmasia cerulea dolens is combined. It is difficult to treat by surgical management, and pharmaceutic thrombolysis cannot be applied due to the trauma history. Here, we describe a case of unilateral traumatic iliac venous injury and subsequent diffuse venous thrombosis in the affected iliofemoral and infrapopliteal veins, combined with phlegmasia cerulea dolens, treated with endovascular management, including bare metal stent insertion and aspiration thrombectomy.

Keyword

Wounds and injuries; Venous thrombosis; Iliac vein; Thrombophlebitis; Endovascular procedures; Case reports
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