Spontaneous iliac vein rupture showed by femoral contrast bolus: A case report.

Radiol Case Rep

Department of Radiology, Noordwest Hospital, Alkmaar, The Netherlands.

Published: January 2023

Spontaneous iliac vein rupture (SIVR) is an uncommon disease with less than sixty cases reported before. This disease often requires surgical intervention. SIVR has never been imaged in the literature. This report shows how to image this diagnosis. A 71-year-old female was diagnosed with SIVR with the use of CT venography. Endovascular repair with 2 endografts and a sinus XL stent was performed. Postoperatively, the patient developed abdominal compartment syndrome and a large part of the intestines had to be removed because of ischemia. This is the first report that shows SIVR before and after endovascular treatment with the use of CT venography by injecting a contrast bolus in the femoral vein. This information is of high interest for a broad range of clinicians to show or exclude a venous abdominal bleeding in an early stage.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9626363PMC
http://dx.doi.org/10.1016/j.radcr.2022.10.007DOI Listing

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