ArticleJournal of vascular surgery cases and innovative techniques2025
Conservative management of spontaneous left iliac vein rupture in May-Thurner syndrome.
Article in Journal of vascular surgery cases and innovative techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Spontaneous rupture of the iliac vein presenting with hemorrhagic shock and extensive venous thrombosis.Journal of vascular surgery cases and innovative techniques · 2026Article
- Endovascular Management of Iliac Hematoma Associated with May-Thurner Syndrome Using Mechanical Thrombectomy and Bare-Metal Stenting: A Case Report.Journal of clinical medicine · 2026Article
- Case Report: Endovascular treatment of spontaneous iliac vein rupture complicated with lower extremity deep vein thrombosis.Frontiers in medicine · 2026Article
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4 authors.
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Abstract
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.
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