["Spontaneous" rupture of the left iliac vein complicating Cockett's syndrome].
The case history reported concerns a female patient aged 42 years for whom the clinical picture was that of a blue phlebitis (phlegmatia caerulea dolens), associated with a state of shock evoking a severe pulmonary embolus. The absence of echocardiographic dilatation of the right cavities, and the appearance of a left iliac fossa mass, steered the diagnosis towards internal haemorrhage. Emergency laparotomy allowed diagnosis and treatment of a so-called spontaneous rupture of the left iliac vein, a rare condition for which 20 cases have been reported in the literature. Re-operation performed 24 hours afterwards for the absence of venous return allowed the discovery of Cockett's syndrome with ascending thrombosis, requiring cross-venous bypass associated with the creation of an arterio-venous fistula in order to maintain permeability. One year afterwards the appearance of signs of cardiac insufficiency led to the closure of this fistula.
Centre de cardiologie, clinique et interventionnelle, Dijon.
N
N
Kismoune
J C
JC
Eicher
S
S
Jazayeri
F
F
André
B
B
Terriat
M
M
David
J E
JE
Wolf
D000328:Adult; D001163:Arteriovenous Anastomosis; D005260:Female; D006801:Humans; D007084:Iliac Vein / Q000601:surgery*; D011655:Pulmonary Embolism / Q000209:etiology; D012086:Reoperation; D012422:Rupture, Spontaneous; D013577:Syndrome; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000601:surgery*