Ovarian Vein to External Iliac Vein Transposition: A Simpler Decompression of Nutcracker Syndrome

A 32-years old woman presented to the emergency room of Bozok University Research Hospital with right renal colic. Multidetector computed tomography (MDCT) showed compression of the proximal ureter by the right ovarian vein and compression of the right distal ureter by the right external iliac vein. To the best of our knowledge, right proximal ureteral compression by the ovarian vein together with distal ureteral compression by the external iliac vein have not been reported in the literature. Ovarian vein and external iliac vein compression should be considered in patients presenting to the emergency room with renal colic or low back pain and a dilated collecting system.

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Successful endovascular stenting of a bleeding external iliac vein mycotic aneurysm in an oncologic patient: a case report

CVIR Endovascular ◽

10.1186/s42155-021-00240-8 ◽

2021 ◽

Vol 4 (1) ◽

Author(s):

Rupal S. Parikh ◽

Shiyi Li ◽

Christopher Shackles ◽

Tamim Khaddash

Keyword(s):

Mycotic Aneurysm ◽

Case Reports ◽

Treatment Options ◽

Iliac Vein ◽

Pelvic Abscess ◽

Vascular Lesions ◽

Endovascular Stenting ◽

Oncologic Patient ◽

External Iliac Vein ◽

Effective Option

Abstract Background Mycotic aneurysms are rare vascular lesions, occurring in 0.6–2% of arterial aneurysms but with no reported venous cases. Venous aneurysms unrelated to an underlying infectious process have been previously described and are typically surgically repaired due to risk of thromboembolic events. Case presentation This case reports a bleeding external iliac vein mycotic aneurysm secondary to erosion of a chronic pelvic abscess, successfully treated with endovascular stenting, in an oncologic patient without alternative therapeutic options. Conclusion Venous aneurysms are uncommon vascular lesions which have historically been treated with open surgical repair. Given the lower degree of procedural morbidity, endovascular management of these lesions may be an effective option in the appropriate setting, particularly as a last resort in patients without surgical treatment options.

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External iliac vein compression and lower-extremity swelling caused by an iliopectineal ganglion: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-019-2223-4 ◽

2019 ◽

Vol 13 (1) ◽

Author(s):

Kiyokazu Fukui ◽

Ayumi Kaneuji ◽

Norio Kawahara

Keyword(s):

Lower Extremity ◽

Femoral Vein ◽

Signs And Symptoms ◽

Iliac Vein ◽

Needle Aspiration ◽

Case Presentation ◽

Vein Thrombosis ◽

External Iliac Vein ◽

Iliac Vein Compression ◽

Deep Vein

Abstract Background A hip joint ganglion is a rare cause of lower-extremity swelling. Case presentation We report a case of a Japanese patient with ganglion of the hip with compression of the external iliac/femoral vein that produced signs and symptoms mimicking those of deep vein thrombosis. Conclusions Needle aspiration of the ganglion was performed, and swelling of the lower extremity promptly decreased. At 7.5 years after aspiration, there was no recurrence of swelling of the leg. Although the recurrence rate for ganglions after needle aspiration is high, it is worthwhile trying aspiration first.

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Regarding “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”

Journal of Vascular Surgery ◽

10.1067/mva.2003.15 ◽

2003 ◽

Vol 37 (1) ◽

pp. 244-246 ◽

Cited By ~ 1

Author(s):

Massimo Porcellini ◽

Giancarlo Bracale ◽

Francesco Paolo D'Armiento

Keyword(s):

Case Report ◽

Lower Limb ◽

Spontaneous Rupture ◽

Limb Ischemia ◽

Iliac Vein ◽

Review Of The Literature ◽

Lower Limb Ischemia ◽

External Iliac Vein ◽

Phlegmasia Cerulea Dolens

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Dimensional disparity between duplex and intravascular ultrasound in the assessment of iliac vein stenosis

Vascular Medicine ◽

10.1177/1358863x211003663 ◽

2021 ◽

pp. 1358863X2110036

Author(s):

Seshadri Raju ◽

William Walker ◽

Chandler Noel ◽

Riley Kuykendall ◽

Thomas Powell ◽

...

Keyword(s):

Intravascular Ultrasound ◽

Venous Pressure ◽

Iliac Vein ◽

Common Iliac Vein ◽

Systematic Bias ◽

Cross Sectional ◽

External Iliac Vein ◽

The Difference ◽

Vein Stenosis ◽

Linear Regressions

Minimum iliac vein caliber necessary to maintain normal peripheral venous pressure can be derived by the Poiseuille equation. Duplex was compared to intravascular ultrasound (IVUS) in the assessment of iliac vein stenosis in this single center retrospective study. Parallel IVUS and duplex caliber data for common iliac vein (CIV) and external iliac vein (EIV) in 382 limbs were separately compared. One or both segments were stenotic by IVUS criteria in 213 limbs. Neither segment was stenotic by IVUS in 22 limbs. Bland–Altman analyses and Passing–Bablok linear regressions were used. Duplex calibers were dimensionally smaller than corresponding IVUS images of CIV and EIV segments in Bland–Altman comparison by a mean of 54 mm2 and 34 mm2, respectively. Passing–Bablok regression suggested the difference was due to a systematic bias and not proportional. Duplex yields a smaller cross-sectional image of CIV and EIV compared to IVUS. Duplex is not a reliable diagnostic test for iliac vein stenosis.

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Spontaneous Rupture of the Left External Iliac Vein: Case Report and Review of 13 Cases

Vascular Surgery ◽

10.1177/153857449202600306 ◽

1992 ◽

Vol 26 (3) ◽

pp. 218-221

Author(s):

Kazuhiro Arikawa ◽

Masafumi Yamashita ◽

Seigou Nishida ◽

Sumihiro Kawashima ◽

Kazuto Shiota ◽

...

Keyword(s):

Case Report ◽

Spontaneous Rupture ◽

Iliac Vein ◽

External Iliac Vein

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External iliac vein stenosis after segmental pancreatic transplantation: Treatment by percutaneous endoprosthesis

CardioVascular and Interventional Radiology ◽

10.1007/bf02641890 ◽

1993 ◽

Vol 16 (3) ◽

pp. 186-188 ◽

Cited By ~ 5

Author(s):

Nicolas Grenier ◽

Hervé Rousseau ◽

Catherine Douws ◽

Jean-Charles Brichaux ◽

Luc Potaux ◽

...

Keyword(s):

Iliac Vein ◽

Pancreatic Transplantation ◽

External Iliac Vein ◽

Segmental Pancreatic Transplantation ◽

Vein Stenosis

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Anatomical variation of obturator vessels and its practical risk: a case report from an anatomic study

Jornal Vascular Brasileiro ◽

10.1590/s1677-54492008000300015 ◽

2008 ◽

Vol 7 (3) ◽

pp. 275-277 ◽

Cited By ~ 2

Author(s):

Somayaji Nagabhooshana ◽

Venkata Ramana Vollala ◽

Vincent Rodrigues ◽

Seetharama Bhat ◽

Narendra Pamidi ◽

...

Keyword(s):

Iliac Artery ◽

Anatomical Variation ◽

External Iliac Artery ◽

Iliac Vein ◽

Inferior Epigastric Artery ◽

Undergraduate Medical Students ◽

Obturator Artery ◽

External Iliac Vein ◽

Epigastric Artery ◽

Internal Iliac

Obturator artery is frequently a branch of anterior division of the internal iliac artery. It has drawn attention of pelvic surgeons, anatomists and radiologists because of the high frequency of variations in its course and origin. The obturator vein is usually described as a tributary of the internal iliac vein. During routine dissection classes to undergraduate medical students we have observed obturator artery arising from external iliac artery, obturator vein draining into external iliac vein, communicating vein between obturator vein and external iliac vein and inferior epigastric artery arising from the obturator artery. The anomalous obturator vessels and inferior epigastric artery in the present case may be in a dangerous situation in pelvic surgeries that require dissection or suturing along the pelvic rim. Developmental reasons and clinical significances of the variations are discussed.

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