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Updated: Jun 12, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Iliac vein compression syndrome: an underdiagnosed cause of lower extremity deep venous thrombosis
Ami Naik1, Taimur Mian, Aney Abraham
1Department of Internal Medicine, UMDNJ-Robert Wood Johnson Medical School, Camden, NJ 08103, USA. naikam@umdnj.edu
Abstract:
Iliac vein compression syndrome (CS) is a rare cause of deep venous thrombosis. It is caused by an anatomic anomaly in which the right common iliac artery overlies the left common iliac vein causing mechanical compression. Subsequent endothelial changes within the vessels have the potential to spur thrombus formation. Aggressive diagnostic and therapeutic interventions must be implemented upon suspicion to avoid long-term complications. We report on a 19 year old male who presented with ICS. We discuss the clinical presentation, diagnosis, and current treatment options.
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