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Subclavian arteriovenous fistulas (AVFs) are rare entities, mostly reported as a result of traumatic and iatrogenic injuries. In the literature, congenital subclavian AVFs are also presented. Diagnosis of traumatic AVF may present challenges given the variable clinical presentation, varying location, and difficulty to locate on imaging.

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Venous aneurysms are rare, and their incidence is unknown. External iliac vein aneurysms are even more rare with only 50 case reports published from 1950 to 2018. We present a case of an individual who died suddenly from a pulmonary thromboembolic event due to an external iliac vein aneurysm formed by a remote penetrating injury.

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Article Synopsis
  • A rare case report discusses a 20-year-old Iranian woman who experienced a ruptured right common iliac aneurysm one year after having deep vein thrombosis (DVT), which was treated with rivaroxaban.
  • The surgical repair was successful, but she faced complications, including abdominal pain, small bowel obstruction, and a large pancreatic pseudocyst, despite ongoing anticoagulant therapy.
  • The report highlights the unusual link between DVT and vascular aneurysms and emphasizes the need to consider potential complications arising from aneurysms when treating DVT in patients.
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