A Case of Isolated External Iliac Vein Compression Syndrome and the Role of Advanced Imaging

Abstract

Isolated external iliac vein compression syndrome is an uncommon cause of nonthrombotic venous stenosis that causes chronic venous hypertension leading to painful swelling, skin discoloration, and ulcer formation. We present a case of an 86-year old man with refractory lower extremity edema for several years who had been treated with diuretics and antibiotics without relief of symptoms. With the help of invasive and noninvasive imaging modalities, we were able to diagnose and manage isolated nonthrombotic left external iliac vein stenosis as a result of ipsilateral external iliac artery compression.

Keywords

External iliac vein compression chronic venous hypertension nonthrombotic iliac vein lesion intravascular ultrasound venous stent

Get full access to this article

View all access options for this article.

References

Seager

Busuttil

Dharmarajah

Davies

. Editor’s choice—a systematic review of endovenous stenting in chronic venous disease secondary to iliac vein obstruction. Eur J Vasc Endovasc Surg. 2016;51(1):100–120. doi:10.1016/j.ejvs.2015.09.002

Youn

Lee

. Chronic venous insufficiency and varicose veins of the lower extremities. Korean J Intern Med. 2019;34(2):269–283. doi:10.3904/kjim.2018.230

McArdle

Hernandez-Vila

. Management of chronic venous disease. Texas Hear Inst J. 2017;44(5):347–349. doi:10.14503/THIJ-17-6357

Raju

. Best management options for chronic iliac vein stenosis and occlusion. J Vasc Surg. 2013;57(4):1163–1169. doi:10.1016/j.jvs.2012.11.084

Negus

Fletcher

EWL

Cockett

Thomas

. Compression and band formation at the mouth of the left common iliac vein. Br J Surg. 1968;55(5):369–374. doi:10.1002/bjs.1800550510

Raju

Neglen

. High prevalence of nonthrombotic iliac vein lesions in chronic venous disease: a permissive role in pathogenicity. J Vasc Surg. 2006;44(1):136–143; discussion 144. doi:10.1016/j.jvs.2006.02.065

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB