Spontaneous retroperitoneal hematoma associated with iliac vein rupture

Abstract

SRH with concomitant DVT, especially in women aged >45, should be considered in patients with sudden lower abdominal or lumbar pain, leg swelling, anemia, and shock. Spontaneous iliac vein rupture and the presence of May-Thurner syndrome should be considered in these patients. Surgical interventions were associated with high mortality and morbidity. In our experience, conservative therapy was safer than open surgical procedures.

Spontaneous left iliac vein rupture — case report

“…Our case is similar to literature. Common clinical characteristics are included sudden onset of left lower abdominal or lumbar pain, swelling of the left lower limb, anaemia, and shock [4]. Our case admitted to emergency department with sudden onset of abdominal pain and laboratory results revealed anaemia.…”

“…It is mostly reported as case reports [1][2][3]. The largest series was reported by Jiang et al and it included 9 cases [4]. Most common concomitant pathologies were deep vein thrombosis or thrombophlebitis, followed by May-Thurner Syndrome [4].…”

“…The largest series was reported by Jiang et al and it included 9 cases [4]. Most common concomitant pathologies were deep vein thrombosis or thrombophlebitis, followed by May-Thurner Syndrome [4]. Possible aetiological factors have been identified as venous hypertension, as well as the inflammatory venous wall [5][6][7].…”

“…If haemodynamic variables were stable after resuscitation, the patient was treated conservatively. If there were evidence of further haemorrhage or blue phlegmasia with impending venous gangrene, a surgical procedure was compelled [4].…”

Biventricular ICD Placement Percutaneously Via the Iliac Vein: Case Reports and a Review

“…As opposed to direct percutaneous retroperitoneal venous access, access achieved at a point just above the inguinal ligament presumably decreases the risk of retroperitoneal bleed. 8 However, despite its more superior location, the pelvic region is not a desirable location for device insertion still necessitating lead tunneling.…”