Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Feb;9(4):360.
doi: 10.21037/atm-20-8189.

Treatment of common iliac vein aneurysms: case report and literature review

Fei Li  1 , Ruili Zhang  1 , Jiangping Chen  1 , Xiang Wang  1 , Haiwei Chu  1 , Wenjun Zhao  1
Affiliations
Case Reports

Treatment of common iliac vein aneurysms: case report and literature review

Fei Li et al. Ann Transl Med. 2021 Feb.

Abstract

In this study we report on a patient with a left common iliac vein aneurysm; a condition rarely seen in vascular surgery. A 49-year-old man with no history of trauma or surgery underwent computed tomography (CT) for the evaluation of lumbago. A subsequent 64-slice CT angiogram revealed a left common iliac vein aneurysm. Surgery was performed due to the possibility of rupture. The aneurysm was successfully treated with clipping and sutures and a pre-discharge CT showed the aneurysm had shrunk. We combine our experience treating this patient with a review of the characteristics of other reported cases and methods used to treat iliac vein aneurysms. A definitive diagnosis is recommended in patients in whom an iliac vein aneurysm is suspected, with a CT angiogram being a dependable diagnostic method. There is still no unified standard for the treatment of aneurysms. Conservative treatment can be chosen for some small aneurysms in early stage, but close follow-up is needed. Surgical treatment is still recommended for some large aneurysms. Because we know that if an aneurysm ruptures, it can be life-threatening. If appropriate artificial blood vessels or coated stents are available, aneurysms resection combined with artificial blood vessel reconstruction or directly coated stents are good choices for aneurysms isolation. For some very large aneurysms, I personally think that lateral wall resection and suture of our aneurysms is also a method. Early follow-up results also proved that the method was effective. Surgery should be performed as early as possible. Our method of surgery may be used as a selective surgical method if the aneurysm is large or saccular in morphology.

Keywords: Common iliac vein; angioplasty; iliac vein compression syndrome; vein aneurysm.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/atm-20-8189). The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
(A) The aneurysm is shown on a transverse view of the pelvis. (B) Reconstruction of the iliac vein shows aneurysm and compression of left iliac vein (arrow) near the right iliac artery.
Figure 2
Figure 2
Intraoperative situs. (A) The exposed iliac vein aneurysm. Note the external iliac vein, internal iliac vein, and the proximal neck of the aneurysm. (B) The aneurysm post-surgery.
Figure 3
Figure 3
Reconstruction of the iliac vein 1 week after the operation showing the aneurysm had evidently decreased.
See this image and copyright information in PMC

References

    1. Gusani R, Shukla R, Kothari S, et al. Inferior vena cava aneurysm presenting as deep vein thrombosis - A case report. Int J Surg Case Rep 2016;29:123-5. 10.1016/j.ijscr.2016.10.023 - DOI - PMC - PubMed
    1. Gaweesh AS, Kayed MH, Gaweesh TY, et al. Popliteal venous aneurysms and iliac vein compression: a possible association. Phlebology 2014;29:386-9. 10.1177/0268355513486781 - DOI - PubMed
    1. McCready RA, Bryant MA, Divelbiss JL, et al. Subclavian venous aneurysm: case report and review of the literature. J Vasc Surg 2007;45:1080-2. 10.1016/j.jvs.2007.01.017 - DOI - PubMed
    1. Dale RT, Bidnur S, Nguan CY. Late renal vein aneurysm following living related renal transplant. Can Urol Assoc J 2014;8:E253-5. 10.5489/cuaj.1769 - DOI - PMC - PubMed
    1. Fourneau I, Reynders-Frederix V, Lacroix H, et al. Aneurysm of the iliofemoral vein. Ann Vasc Surg 1998;12:605-8. 10.1007/s100169900208 - DOI - PubMed

Publication types

LinkOut - more resources