Conservative management of spontaneous left iliac vein rupture in May-Thurner syndrome
We report two rare cases of spontaneous left iliac vein rupture associated with May-Thurner syndrome. A 60-year-old patient presented with acute lower abdominal pain and was diagnosed with a retroperitoneal hematoma and left iliac vein thrombosis. She was managed conservatively with anticoagulation...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-10-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725002163 |
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| author | Nam Ho, MD Thu Thi Nguyen, MD Vinh Huy Tuan Pham, MD Trung Dinh Ngo, MD, PhD |
| author_facet | Nam Ho, MD Thu Thi Nguyen, MD Vinh Huy Tuan Pham, MD Trung Dinh Ngo, MD, PhD |
| author_sort | Nam Ho, MD |
| collection | DOAJ |
| description | We report two rare cases of spontaneous left iliac vein rupture associated with May-Thurner syndrome. A 60-year-old patient presented with acute lower abdominal pain and was diagnosed with a retroperitoneal hematoma and left iliac vein thrombosis. She was managed conservatively with anticoagulation and inferior vena cava (IVC) filter placement, resulting in complete thrombus resolution within 2 months. A second patient, aged 65 years, presented in hemorrhagic shock with extensive deep vein thrombosis of the left lower limb. After resuscitation and transfusion, she underwent IVC filter placement and anticoagulation, with full thrombus resolution confirmed at the 3-month follow-up. These cases highlight the diagnostic challenges of spontaneous iliac vein rupture and the importance of early recognition. Conservative management with anticoagulation and IVC filter placement may be a safe and effective alternative to surgery in stable patients. |
| format | Article |
| id | doaj-art-9c4963d6fbfc4caebebf80bcc79e6e6b |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-9c4963d6fbfc4caebebf80bcc79e6e6b2025-08-24T05:13:54ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-10-0111510193410.1016/j.jvscit.2025.101934Conservative management of spontaneous left iliac vein rupture in May-Thurner syndromeNam Ho, MD0Thu Thi Nguyen, MD1Vinh Huy Tuan Pham, MD2Trung Dinh Ngo, MD, PhD3Surgical and Transplant Intensive Care Unit, Military Central Hospital 108, Hanoi, VietnamSurgical and Transplant Intensive Care Unit, Military Central Hospital 108, Hanoi, VietnamVinUniversity, Hanoi, VietnamSurgical and Transplant Intensive Care Unit, Military Central Hospital 108, Hanoi, Vietnam; Correspondence: Trung Dinh Ngo, MD, PhD, Surgical and Transplant Intensive Care Unit, Military Central Hospital 108, Hai Ba Trung District, Hanoi 11600, VietnamWe report two rare cases of spontaneous left iliac vein rupture associated with May-Thurner syndrome. A 60-year-old patient presented with acute lower abdominal pain and was diagnosed with a retroperitoneal hematoma and left iliac vein thrombosis. She was managed conservatively with anticoagulation and inferior vena cava (IVC) filter placement, resulting in complete thrombus resolution within 2 months. A second patient, aged 65 years, presented in hemorrhagic shock with extensive deep vein thrombosis of the left lower limb. After resuscitation and transfusion, she underwent IVC filter placement and anticoagulation, with full thrombus resolution confirmed at the 3-month follow-up. These cases highlight the diagnostic challenges of spontaneous iliac vein rupture and the importance of early recognition. Conservative management with anticoagulation and IVC filter placement may be a safe and effective alternative to surgery in stable patients.http://www.sciencedirect.com/science/article/pii/S2468428725002163Iliac veinVenous thrombosisMay-Thurner syndromeRetroperitoneal hemorrhageVascular diseases |
| spellingShingle | Nam Ho, MD Thu Thi Nguyen, MD Vinh Huy Tuan Pham, MD Trung Dinh Ngo, MD, PhD Conservative management of spontaneous left iliac vein rupture in May-Thurner syndrome Journal of Vascular Surgery Cases and Innovative Techniques Iliac vein Venous thrombosis May-Thurner syndrome Retroperitoneal hemorrhage Vascular diseases |
| title | Conservative management of spontaneous left iliac vein rupture in May-Thurner syndrome |
| title_full | Conservative management of spontaneous left iliac vein rupture in May-Thurner syndrome |
| title_fullStr | Conservative management of spontaneous left iliac vein rupture in May-Thurner syndrome |
| title_full_unstemmed | Conservative management of spontaneous left iliac vein rupture in May-Thurner syndrome |
| title_short | Conservative management of spontaneous left iliac vein rupture in May-Thurner syndrome |
| title_sort | conservative management of spontaneous left iliac vein rupture in may thurner syndrome |
| topic | Iliac vein Venous thrombosis May-Thurner syndrome Retroperitoneal hemorrhage Vascular diseases |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725002163 |
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