Idiopathic Rupture of the Iliac Vein

Brown, Louis

doi:10.1001/archsurg.1977.01370010097020

Cited by 24 publications

(7 citation statements)

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“…Its aetiology is uncertain. Tissue taken for histopathology, in only four cases, 1–4 showed inflammatory changes. Most cases 2–6,8,9 had a thrombus or a clot in the torn vein.…”

Section: Discussionmentioning

confidence: 98%

“…Tissue taken for histopathology, in only four cases, 1–4 showed inflammatory changes. Most cases 2–6,8,9 had a thrombus or a clot in the torn vein. Proximal obstruction of the left common iliac vein was identified either due to the overlying right common iliac artery in two 6,8 or by an intraluminal endothelialised band in one 4 .…”

Section: Discussionmentioning

confidence: 98%

“…Treatment depends on prompt resuscitation and early control of the bleeding. The vein can either be tied 1,4 proximal and distal to the tear or, perhaps more favourably, the rent in the vein wall repaired 2,3,5,9 with a continuous suture. Long‐term patency of vein repair is believed to be high 10 .…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Rupture of the Left External Iliac Vein

Majeed¹,

Pheils²

1993

Int J Clinical Practice

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“…Its aetiology is uncertain. Tissue taken for histopathology, in only four cases, 1–4 showed inflammatory changes. Most cases 2–6,8,9 had a thrombus or a clot in the torn vein.…”

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

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Spontaneous Rupture of the Left External Iliac Vein

Majeed¹,

Pheils²

1993

Int J Clinical Practice

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“…In the previously reported cases, vein repair was associated with thrombectomy in five cases 3,[7][8][9]19 or with implantation of a vena cava clip or filter in two cases. 6,11 We believe that even if a thrombectomy is performed, leg swelling could appear or increase after surgery because of obstruction of the common iliac vein.…”

Section: Reportmentioning

confidence: 99%

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

Jazayeri

Tatou

Cheynel

et al. 2002

Journal of Vascular Surgery

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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.

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“…To investigate the pathogenesis of vein rupture, pathologic examination was performed in a few cases and aspecific inflammatory changes were noted. [3][4][5][6] In our own patients, tissue samples of the edges of the venous tear were fixed in 10% buffered formaldehyde and embedded in paraffin; part of the serial sections (5 m) was prepared for histochemical study (hematoxylin-eosin, Weigert-elastin, van Gieson), the remaining part for immunocytochemistry, using the avidinbiotin peroxidase method and the cell type-specific monoclonal antibodies to T lymphocytes (CD 43), B lymphocytes (CD 20), and macrophages (CD 68; Dako, Inc, ).…”

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confidence: 99%