An unusual case: right proximal ureteral compression by the ovarian vein and distal ureteral compression by the external iliac vein

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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May-Thurner syndrome – Are we aware enough?

VASA ◽

10.1024/0301-1526/a000775 ◽

2019 ◽

Vol 48 (5) ◽

pp. 381-388 ◽

Cited By ~ 6

Author(s):

Katalin Mako ◽

Attila Puskas

Keyword(s):

Contraceptive Use ◽

Iliac Vein ◽

Common Iliac Vein ◽

Vein Thrombosis ◽

Compression Syndrome ◽

Threatening Condition ◽

Life Threatening ◽

Iliac Vein Compression ◽

Iliac Vein Compression Syndrome ◽

The Right

Summary. Iliac vein compression syndrome (May-Thurner syndrome – MTS) is an anatomically variable clinical condition in which the left common iliac vein is compressed between the right common iliac artery and the underlying spine. This anatomic variant results in an increased incidence of left iliac or iliofemoral vein thrombosis. It predominantly affects young women in the second or third decades of life with preponderance during pregnancy or oral contraceptive use. Although MTS is rare, its true prevalence is underestimated but it can be a life-threatening condition due to development of pulmonary embolism (PE). In this case based review the authors present three cases of MTS. All patients had been previously confirmed with PE, but despite they were admitted to hospital, diagnosed and correctly treated for PE and investigated for thrombophilia, the iliac vein compression syndrome was not suspected or investigated. With this presentation the authors would like to emphasize that MTS is mostly underdiagnosed, and it needs to be ruled out in left iliofemoral vein thrombosis in young individuals.

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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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OVARIAN VEIN SYNDROME: A CASE REPORT

International Journal of Advanced Research ◽

10.21474/ijar01/13847 ◽

2021 ◽

Vol 9 (11) ◽

pp. 1102-1104

Author(s):

Abderrazak Benazzouz ◽

◽

Yassine Karmouch ◽

Fouad Hajji ◽

Rachid Zaini ◽

...

Keyword(s):

Case Report ◽

Chronic Disease ◽

Renal Colic ◽

Ct Urography ◽

Ovarian Vein ◽

Extrinsic Compression ◽

Multiparous Women ◽

The Right

The ovarian Vein Syndrome was first reported in 1964, yet its existence as a true pathophysiological entity remains controversial. It may present as an acute ora chronic disease, typically affecting young, multiparous women. We present in this article a 32-year-old patient with chronic renal colic, ultrasound and CT urography showing an extrinsic compression of the right lumbar ureter by the ovarian vein, a ligation, anda resection of the ovarian vein were performed by transperitoneal laparoscopy.

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A Rare Cause of May-Thurner Syndrome Postarterial Intervention

Journal of Clinical Interventional Radiology ISVIR ◽

10.1055/s-0039-1693630 ◽

2019 ◽

Vol 03 (03) ◽

pp. 180-184 ◽

Cited By ~ 1

Author(s):

Hiok Yang Chan ◽

Edward Tieng Chek Choke ◽

Tjun Yip Tang ◽

Chandramohan Sivanathan ◽

Chua Ming Er Jasmine ◽

...

Keyword(s):

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Iliac Artery ◽

Lower Limb ◽

Unusual Case ◽

Anatomical Variation ◽

Iliac Vein ◽

Team Approach ◽

Left Lower Limb ◽

Iliac Vein Compression

AbstractMay-Thurner syndrome (MTS) is rare condition thought to occur due to an anatomical variation. In MTS, there is left iliac vein compression by the right iliac artery and lumbar spine resulting in left lower limb deep venous thrombosis. The authors report a rare cause of MTS postarterial intervention. They describe the unusual case of an Asian man who presented with acute left lower limb deep venous thrombosis 5 days following left common iliac artery angioplasty and stent insertion. Computed tomographic (CT) venogram demonstrated the left iliac vein compression by the left iliac artery stent. Successful recanalization of the thrombosed iliac vein was achieved with a combination of pulse spray thrombolysis and rheolytic mechanical thrombectomy, followed by angioplasty and stent placement in the iliac vein. There was rapid and complete resolution of symptoms. This report illustrates the use of complementary imaging modalities and a multidisciplinary team approach to achieve a successful technical and clinical outcome following an unusual case of MTS postarterial intervention and the subsequent successful endovascular management.

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Migration of an Ingested Foreign Body into the Right External Iliac Vein

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2008.11.028 ◽

2009 ◽

Vol 20 (3) ◽

pp. 420-422 ◽

Cited By ~ 1

Author(s):

Yu-Dong Chen ◽

Hsiou-Shan Tseng ◽

Rheun-Chuan Lee ◽

Yi-You Chiou ◽

Jen-Huey Chiang ◽

...

Keyword(s):

Foreign Body ◽

Iliac Vein ◽

External Iliac Vein ◽

Ingested Foreign Body ◽

The Right

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Acute compartment syndrome of the lower leg causing cardiac arrest after resection of the right external iliac vein for autologous graft: a case report

JA Clinical Reports ◽

10.1186/s40981-019-0286-2 ◽

2019 ◽

Vol 5 (1) ◽

Author(s):

Koji Hoshino ◽

Toru Nakamura ◽

Mineji Hayakawa ◽

Yusuke Itosu ◽

Hitoshi Saito ◽

...

Keyword(s):

Cardiac Arrest ◽

Portal Vein ◽

Compartment Syndrome ◽

Iliac Vein ◽

Lower Leg ◽

Acute Compartment Syndrome ◽

External Iliac Vein ◽

Portal Vein Reconstruction ◽

Vein Resection ◽

The Right

Abstract Background The right external iliac vein (REIV) is often used for portal vein reconstruction in patients undergoing pancreatoduodenectomy with portal-superior mesenteric vein resection. We report a case of cardiac arrest caused by acute lower leg compartment syndrome as a result of REIV resection. Case presentation A 53-year-old man underwent pancreatoduodenectomy with portal vein resection. Hyperkalemia progressed during surgery due to intestinal reperfusion injury, which caused recurrent ventricular arrhythmia required for cardio-pulmonary resuscitation. The surgery was discontinued after resuscitation, and portal vein reconstruction using the REIV was performed 2 days post-operatively. Acute compartment syndrome was diagnosed immediately following the surgery. Hyperkalemia progressed, causing pulseless ventricular tachycardia. Emergent fasciotomy was performed, but right leg dysfunction persisted after discharge. Conclusion REIV resection can cause lower-extremity acute compartment syndrome. The status, including intracompartmental pressure, of the lower extremity should be carefully observed after REIV resection during and after surgery.

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The prevalence and risk factors of lower back pain in emergency room nurses

Health Promotion & Physical Activity ◽

10.5604/01.3001.0010.7726 ◽

2017 ◽

Vol 2 (3) ◽

pp. 95-110 ◽

Cited By ~ 1

Author(s):

Edyta Mikołajczyk ◽

Zofia Kaleta ◽

Mariusz Janusz

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Low Back Pain ◽

Back Pain ◽

Emergency Room ◽

Sagittal Plane ◽

The Self ◽

Low Back ◽

Emergency Room Nurses ◽

The Right

Aim of the study: To assess prevalence and risk factors of low back pain (LBP) in emergency room nurses in Krakow. Materials and methods: The study comprised 30 randomly selected full time emergency nurses aged 25-58. Their BMI was calculated and measurements of linear segmental lumbar spine flexion-extension motion were performed. The visual analogue scale (VAS) was used to assess the subjective LBP degree. The self-estimated physical disability caused by LBP was assessed by means of the Roland- Morris Low Back Pain and Disability Questionnaire (RMDQ), whereas physical activity by means of the International Physical Activity Questionnaire (IPAQ). The Spearman correlation coefficient was used to determine a linear association between variables involved in the research. Results: Statistically significant correlations between BMI, LBP and the level of disability as well as between the pain intensity and the time spent in a sitting position were revealed by RMDQ. Significant correlations between the self-estimated LBP and spinal flexion in the sagittal plane, lateral flexion to the right in the frontal plane and twist to the right in the transverse plane were found. Conclusions: Moderate LBP in emergency ward nurses, which is commonly observed, slightly decreased their quality of life. A high level of physical activity and limited range of flexion were discovered in the sagittal plane. Due to the existing correlations between BMI and LBP, between the degree of disability and the intensity of pain and the range of motion, it seems appropriate to include this occupational group in the back pain prevention programme.

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Compression of the right iliac vein in asymptomatic subjects and patients with iliofemoral deep vein thrombosis

Phlebology The Journal of Venous Disease ◽

10.1177/0268355515598700 ◽

2016 ◽

Vol 31 (7) ◽

pp. 471-480 ◽

Cited By ~ 2

Author(s):

Feng Chen ◽

Jun Deng ◽

Xiao M Hu ◽

Wei M Zhou

Keyword(s):

Computed Tomography ◽

Deep Vein Thrombosis ◽

Iliac Artery ◽

Iliac Vein ◽

Vein Thrombosis ◽

Computed Tomography Images ◽

Iliac Vein Compression ◽

The Right ◽

Asymptomatic Subjects ◽

Deep Vein

Objective To evaluate right iliac vein and left iliac vein compression in asymptomatic subjects, right-sided and left-sided iliofemoral deep vein thrombosis patients. Methods A retrospective analysis of records and computed tomography images was conducted in 200 asymptomatic subjects (male:female, 100:100). A prospective analysis was conducted in 79 consecutive deep vein thrombosis patients (left:right deep vein thrombosis, 47:32) who had undergone contrast-enhanced computed tomography examination. The minor diameter and percentage compression of the iliac vein were evaluated. Results In asymptomatic subjects, 13.5% had right iliac vein compression >50%, 2.0% had right iliac vein compression >70%, mean compression was 23.48%; 45.0% had left iliac vein compression >50% and 17.0% had left iliac vein compression >70%, mean compression was 47.58%. Right iliac vein sandwiched between the right external iliac artery and the right internal iliac artery was the most common compression pattern (59.26%). Males had higher right iliac vein compression than the females (male:female, 26.29%:20.68%, P < 0.001). Mean percentage compression of the right iliac vein was higher in right deep vein thrombosis patients than in left deep vein thrombosis patients (right:left deep vein thrombosis, 48.54%:22.29%, P < 0.001). Conclusion Similar to left iliac vein compression, right iliac vein compression was a frequent imaging finding in CT and represented a normal anatomic pattern. Right deep vein thrombosis patients had more serious right iliac vein compression than left deep vein thrombosis patients, and further research is required on the association of right iliac vein compression with right iliofemoral deep vein thrombosis.

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A rare case of anatomical variation of the femoral artery and vein

Anatomy Journal of Africa ◽

10.4314/aja.v9i2.199952 ◽

2020 ◽

Vol 9 (2) ◽

pp. 1826-1830

Author(s):

B. Ba ◽

T. Touré ◽

A. Kanté ◽

M. Koné ◽

K.D. Kouamenou ◽

...

Keyword(s):

Femoral Artery ◽

Rare Case ◽

Great Saphenous Vein ◽

Anatomical Variation ◽

Femoral Vein ◽

Iliac Vein ◽

External Iliac Vein ◽

Medial Side ◽

Femoral Vessels ◽

The Right

During a dissection of the two femoral trigons in a female corpse, about 14 years old, we discovered on the right side, the deep artery of the thigh arising from the medial side of the femoral artery and passed in front of the femoral vein above the mouth of the great saphenous vein; on both sides, there was the presence of a collateral canal which communicated the external iliac vein with the femoral vein on the right, on the left, it communicated the external iliac vein with the quadricipital vein. The lower part of the femoral vein was duplicated on both sides, but on the right, there was an interconnecting channel between the two trunks of the duplication. Variations of the femoral vessels are very frequent and can be responsible for an incident during the practice of certain gestures at the level of the femoral trigon such as: catheterization of the femoral artery or vein, the treatment of femoral hernias. Key words: Deep thigh artery, collateral venous canal, external iliac vein, anatomic variations.

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