Surgical treatment of a primary external iliac vein aneurysm

Abstract

Primary external iliac vein aneurysms are rare and can be complicated by thrombosis, pulmonary embolism, or rupture. To date, there are only 14 cases reported in the literature. In this paper we report a case of a 25-year-old man who presented with left lower limb edema and cyanosis. Vascular ultrasonography revealed a cystic tumor in the left iliac fossa. Computed tomography angiography confirmed that the finding was an external iliac vein aneurysm, measuring 3.8 cm at its largest diameter. The patient underwent surgical treatment with resection followed by longitudinal venorrhaphy, with no complications. After the procedure left limb symptoms improved. The patient has exhibited no late complications over 44 months of follow-up.

Keywords:
aneurysm; iliac vein; edema