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Spontaneous Iliac Vein Rupture.
Dae Hwan Kim1, Hyung Sub Park1, Taeseung Lee1
1Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
Vascular Specialist International
|July 29, 2015
Summary
Spontaneous iliac vein rupture (SIVR) is a rare, life-threatening condition. This case report demonstrates successful conservative management of SIVR with anticoagulation, even with concurrent venous bleeding.
Area of Science:
- Vascular Surgery
- Radiology
- Hematology
Background:
- Spontaneous iliac vein rupture (SIVR) is a rare and potentially fatal vascular emergency.
- SIVR often necessitates urgent surgical intervention.
Observation:
- A 62-year-old female presented with left leg swelling, diagnosed with deep vein thrombosis and May-Thurner syndrome.
- Contrast-enhanced CT revealed a pelvic hematoma, but no active arterial bleeding.
- The patient had spontaneous iliac vein rupture.
Findings:
- Conservative management was successful, avoiding surgical intervention for SIVR.
- Inferior vena cava filter placement and anticoagulation were administered for pulmonary thromboembolism.
- Anticoagulation was safely managed despite the presence of venous bleeding.
Implications:
- This case highlights that conservative management can be a viable option for SIVR.
- Anticoagulation therapy can be safely initiated in patients with SIVR and venous bleeding.
- May-Thurner syndrome may be associated with spontaneous iliac vein rupture.
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