Document Detail

A spontaneous rupture of the external iliac vein revealed as a phlegmasia cerulea dolens with acute lower limb ischemia: Case report and review of the literature.
MedLine Citation:
PMID:  12021718     Owner:  NLM     Status:  MEDLINE    
We reported a case in a previously healthy 45-year-old woman of spontaneous rupture of the left external iliac vein, which was revealed as a phlegmasia cerulea dolens with acute lower limb ischemia. A tear on the anterior surface of the vein was discovered during an emergency laparotomy, and the rent was repaired successfully. Twenty-four hours later, the leg swelling increased, and at the reexploration, the common iliac vein was found to be occluded by an organized thrombus as the result of a well-endothelialized membranous band (Cockett or May-Turner syndrome). A Palma-Dale operation (crossover saphenous bypass grafting) was performed secondarily. The swelling in the leg diminished slowly, and the patient was discharged 10 days later with an oral anticoagulant therapy and elastic stockings.
Saed Jazayeri; Etienne Tatou; Nicolas Cheynel; Francois Becker; Roger Brenot; Michel David
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  35     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-05-21     Completed Date:  2002-06-13     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  999-1002     Citation Subset:  IM    
Service de chirurgie Cardio-Vasculaire et d'angiologie CHU de Dijon, 2 Boulevard Maréchal de Lattre de Tassigny, BP 1542, 20134 Dijon, France.
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MeSH Terms
Acute Disease
Iliac Vein / surgery*
Ischemia / etiology*,  surgery
Leg / blood supply*,  surgery
Middle Aged
Rupture, Spontaneous / complications,  surgery
Thrombophlebitis / etiology*,  surgery
Vascular Diseases / complications*,  surgery
Comment In:
J Vasc Surg. 2003 Jan;37(1):244-6; author reply 246   [PMID:  12514626 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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