Related Experiment Video
Updated: Aug 20, 2025
06:59
Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava
Published on: January 13, 2023
3.6K
Spontaneous Left External Iliac Vein Rupture.
Cosmina Fugărețu1,2, Cătalin Mișarca1,2, Gina Vlada3
11st General Surgery Department, Brașov County Emergency Clinical Hospital, 500326 Brașov, Romania.
Diagnostics (Basel, Switzerland)
|November 26, 2022
Summary
Spontaneous rupture of the iliac vein, though rare, can cause significant retroperitoneal bleeding. Prompt diagnosis and surgical intervention, such as venous ligation, are crucial for patient survival.
Area of Science:
- Vascular Surgery
- Emergency Medicine
- Radiology
Background:
- Spontaneous rupture of the iliac vein is an exceedingly rare clinical event.
- Left-sided venous lesions dominate over 90% of reported cases.
- Etiology remains largely unknown, but factors like intense physical exertion, constipation, and May-Thurner syndrome are implicated.
Purpose of the Study:
- To report a rare case of spontaneous rupture of the left external iliac vein.
- To highlight the diagnostic and management challenges associated with this condition.
Main Methods:
- Case presentation of an 83-year-old female with sudden onset abdominal pain.
- Diagnosis confirmed via emergency contrast-enhanced abdominal computed tomography (CT) scan.
- Urgent surgical intervention involving a retroperitoneal approach and venous ligation.
Main Results:
- The patient presented with severe abdominal pain following moderate physical exertion.
- Spontaneous rupture of the left external iliac vein was diagnosed.
- Due to the patient's critical condition, immediate venous ligation was performed.
Conclusions:
- Spontaneous iliac vein rupture is a rare but critical cause of retroperitoneal hematoma and shock.
- Consideration of non-traumatic iliac vein rupture is essential in patients presenting with massive retroperitoneal bleeding.
- High mortality rates underscore the need for prompt recognition and management.
Related Concept Videos
01:18Veins of the Abdomen and Pelvis
837
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
837
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
24
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
24
01:15Veins of Lower Limbs
1.2K
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
1.2K
01:30Venous Thrombosis I: Introduction
23
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
23
01:25Abdominal Aorta
1.0K
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
1.0K
01:26Varicose Veins I: Introduction
22
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
22