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J Vasc Surg Cases Innov Tech. 2021 Jul 01;7(3):558-562. doi: 10.1016/j.jvscit.2021.06.011. eCollection 2021 Sep.

Spontaneous iliac vein rupture: An uncommon, but frequently lethal, event.

Journal of vascular surgery cases and innovative techniques

Robert A McCready, Charles S Kiell, Thomas H Webb

Affiliations

  1. Department of Vascular Surgery, Franciscan Alliance, Indianapolis, Ind.

PMID: 34485778 PMCID: PMC8403535 DOI: 10.1016/j.jvscit.2021.06.011

Abstract

Spontaneous rupture of the iliac veins is a distinctly uncommon problem often misdiagnosed as an arterial rupture because of significant retroperitoneal bleeding. It often occurs with acute left-sided deep vein thrombosis and physical activities that exacerbate acute venous hypertension. A significant number of these patients will have anatomy associated with May-Thurner syndrome. Delayed imaging on computed tomography scanning might suggest a venous etiology for a retroperitoneal hematoma rather than arterial bleeding. We found 53 previously reported cases of iliac vein rupture Our report details two additional cases and the treatment options and outcomes.

© 2021 The Author(s).

Keywords: Acute venous hypertension; Iliac vein rupture

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