Conservative management of a traumatic common iliac venous pseudoaneurysm: a case report

Lyons, Walker; Harfouche, Melike; Lopez, Joseph M

doi:10.1093/jscr/rjx085

Cited by 8 publications

(10 citation statements)

References 7 publications

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“…The therapeutic options include observation alone, compression therapy, thrombin injection, coil embolization and surgical resection. 1,2,4 Surgical resection is the recommended procedure for patients with large symptomatic pseudoaneurysms in superficial veins or pseudoaneurysms that increase in size on following-up imaging. 1,4 In the present case, the venous pseudoaneurysm was excised and the communicating veins tied off.…”

Section: Discussionmentioning

confidence: 99%

“…There is no established standard for treating venous pseudoaneurysm. The therapeutic options include observation alone, compression therapy, thrombin injection, coil embolization and surgical resection . Surgical resection is the recommended procedure for patients with large symptomatic pseudoaneurysms in superficial veins or pseudoaneurysms that increase in size on following‐up imaging .…”

Section: Discussionmentioning

confidence: 99%

“…They exact pathogenesis remains unclear, but most reported cases were iatrogenic and developed secondary to manipulation of the vascular structure . The potential noniatrogenic causes include trauma, intravenous drug abuse, inflammation, degeneration, and congenital abnormality …”

Section: Introductionmentioning

confidence: 99%

“…1 The potential noniatrogenic causes include trauma, intravenous drug abuse, inflammation, degeneration, and congenital abnormality. 2 Two case of great saphenous vein (GSV) pseudoaneurysm have been reported. In 2003, Menon presented a case of GSV pseudoaneurysm over the patient's left medial malleolus, which occurred a week after a cricket ball injury to the same area.…”

Section: Introductionmentioning

confidence: 99%

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Blunt traumatic great saphenous vein pseudoaneurysm

Lai

2018

J of Clinical Ultrasound

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Traumatic venous pseudoaneurysm is extremely rare. Only two cases of great saphenous venous (GSV) pseudoaneurysm have been reported. We present a case in which a gradually enlarged mass occurred at the calf after local injury. It was nonpulsatile and varied in size with posture. It was initially misdiagnosed by contrast MRI. Duplex ultrasound and surgical intervention eventually identified it as a GSV pseudoaneurysm. This case demonstrates the need for physicians to consider venous pseudoaneurysm as a possible diagnosis for nonpulsatile masses in patient with traumatic history, and to use Duplex ultrasound for adequate evaluation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Blunt traumatic great saphenous vein pseudoaneurysm

Lai

2018

J of Clinical Ultrasound

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“…In addition to PE, iliac vein aneurysm may rupture and lead to profound shock. 26,47,49 Rupture may occur either in retroperitoneal or intraperitoneal cavity. It is assumed that intraperitoneal free rupture may increase morbidity and mortality.…”

Section: Presentation Of Iliac Vein Aneurysmsmentioning

confidence: 99%

Iliac vein aneurysms: a comprehensive review

Zarrintan

Tadayon

Kalantar-Motamedi

2019

J Cardiovasc Thorac Res

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Introduction: Iliac vein aneurysm is a rare clinical entity. Iliac venous tract is the least commonlocation for venous aneurysms. There are a few cases of common, external and internal iliac veinaneurysms in the literature. However, undiagnosed and ruptured iliac venous aneurysms couldhave hazardous consequences. Herein, we reviewed all literature cases of iliac vein aneurysms.Their potential diagnostic and therapeutic challenges are discussed. Literature Review: Following a systematic search, 50 cases of iliac venous aneurysms wereidentified. We used MEDLINE [1900-March 2018] and EMBASE [until March 2018]. MeSHterms of iliac vein/veins/venous, hypogastric, inferior vena cava and aneurysm/aneurysms wereused. Fifty patients with venous aneurysms located in common, external or internal iliac veinswere found in our systematic search. Seventeen patients were female (35.4%) and 31 patients weremale (64.6%). The age range was 13 to 70 years of age. The aneurysm was located in right side in17 patients (34%). It was located in left side in 29 patients (58%) and it was bilateral in 4 patients(8%). The aneurysm was located in common, external and internal iliac veins in 15 (30%), 31(62%) and 4 (8%) patients respectively. The aneurysm was due to a previous arteriovenousfistula (AVF) in 19 patients (38%) and of them, 16 patients (32%) had a history of AVF resultingfrom a previous trauma. 29 patients (59.2%) underwent open surgical treatment. Five patients(10.2%) underwent endovascular treatment. One patient (2.0%) underwent hybrid treatment.Conservative treatment was used in 14 patients (28.6%). Conclusion: Iliac vein aneurysms are extremely rare. Its diagnosis necessitates precise clinicalsuspicion and the treatment is based on patients’ clinical scenario and radiological features. Bothopen and endovascular techniques could be feasible. Iliac vein aneurysms are more commonin men. Left sided aneurysms are more common. The most common anatomic location isexternal iliac vein. The most common cause of iliac aneurysms is dilatation of vein secondary toa traumatic AVF.

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