Aneurisma venoso iliaco primario: presentación de un caso y revisión de la bibliografía

Tratamento cirúrgico de um aneurisma primário de veia ilíaca externa

“…At the time that that review was written, there were just seven published cases of primary aneurysms. 2 We identified 14 cases of primary venous aneurysms involving the iliac vein described in the literature, in eight of which an external iliac vein was involved [1][2][3][4][5][6][7][8][9][10][11][12][13][14] ( Table 1). Our patient, a young man, presented with pain and edema of the left lower limb as the most important complaints.…”

“…1,4,6,7,10,11 However, in other situations, the aneurysm may be thrombosed at the time of diagnosis. 2,3,5,8,9 Additionally, some authors have described patients with pulmonary thromboembolism secondary to an aneurysm of the iliac vein. 4,12,14 Since there are so few cases described, treatment of this type of aneurysm has not yet been standardized.…”

“…Fully thrombosed aneurysms causing minor clinical manifestations and/or with abundant collateral venous networks can be treated clinically using anticoagulation. 2,9,12 In cases in which extensive 4 M, 33 Pain L internal iliac Ligature 12 months Petruni et al 5 M, 19 Pain L common iliac Resection + venorrhaphy 12 months Alatri & Radicchia 6 M, 39 Asymptomatic L + R common iliac None n/a Fourneau et al 7 F, 21 Asymptomatic L external iliac Resection+reconstruction 18 months Alonso-Perez et al 8 M, 67 Edema L+R common iliac Ligature+anticoagulation 16 months Banno et al 1 F, 20 Asymptomatic L external iliac Resection + venorrhaphy 16 months Cañibano et al 9 M, 69 Edema L external iliac Anticoagulation 1 month Ysa et al 2 M, 51 Fever+edema R external iliac Anticoagulation 3 months Kotsis et al 10 F, 38 Asymptomatic L external iliac Resection + venorrhaphy n/a Humphries & Dawson 11 F, 32 Asymptomatic L + R external iliac Anticoagulation n/a Zou et al 12 F, 14 Edema L external iliac Anticoagulation n/a Ghidirim et al 13 M, 59 Pain+edema R common iliac Resection + venorrhaphy 36 months Hosaka et al 14 F, 22 Embolism L external iliac Resection + venoplasty n/a Lucas et al 15 M, 25 Pain+edema L external iliac Resection + venorrhaphy 38 months thrombosis involves the iliofemoral axis or cases in which the thrombosed segment involves the internal iliac vein, it is possible to proceed with ligature of the aneurysm only. 4,8 Clinical follow-up of these patients is of fundamental importance, because venous reconstructions can develop thrombosis and patients may suffer relapse of symptoms.…”

“…2 To date, there are just 14 reported cases of primary aneurysm of the iliac vein. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] Diagnosis is difficult and treatment has not yet been standardized. In this article we describe the case of a 25-year-old man with a primary venous aneurysm involving the left external iliac vein who underwent surgical treatment with satisfactory results.…”