A spontaneous rupture of the external iliac vein revealed as a phlegmasia cerulea dolens with acute lower limb ischemia: Case report and review of the literature

We reported a case in a previously healthy 45-year-old woman of spontaneous rupture of the left external iliac vein, which was revealed as a phlegmasia cerulea dolens with acute lower limb ischemia. A tear on the anterior surface of the vein was discovered during an emergency laparotomy, and the ren...

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Bibliographic Details
Published in:Journal of vascular surgery 2002-05, Vol.35 (5), p.999-1002
Main Authors: Jazayeri, Saed, Tatou, Etienne, Cheynel, Nicolas, Becker, Francois, Brenot, Roger, David, Michel
Format: Article
Language:English
Subjects:
Acute Disease
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
Humans
Iliac Vein - surgery
Ischemia - etiology
Ischemia - surgery
Leg - blood supply
Leg - surgery
Medical sciences
Middle Aged
Rupture, Spontaneous - complications
Rupture, Spontaneous - surgery
Thrombophlebitis - etiology
Thrombophlebitis - surgery
Vascular Diseases - complications
Vascular Diseases - surgery
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Summary:We reported a case in a previously healthy 45-year-old woman of spontaneous rupture of the left external iliac vein, which was revealed as a phlegmasia cerulea dolens with acute lower limb ischemia. A tear on the anterior surface of the vein was discovered during an emergency laparotomy, and the rent was repaired successfully. Twenty-four hours later, the leg swelling increased, and at the reexploration, the common iliac vein was found to be occluded by an organized thrombus as the result of a well-endothelialized membranous band (Cockett or May-Turner syndrome). A Palma-Dale operation (crossover saphenous bypass grafting) was performed secondarily. The swelling in the leg diminished slowly, and the patient was discharged 10 days later with an oral anticoagulant therapy and elastic stockings. (J Vasc Surg 2002;35:999-1002.)
ISSN:0741-5214
1097-6809
DOI:10.1067/mva.2002.121569