Iliac vein compression syndrome: an underdiagnosed cause of lower extremity deep venous thrombosis.
Iliac vein compression syndrome (CS) is a rare cause of deep venous thrombosis. It is caused by an anatomic anomaly in which the right common iliac artery overlies the left common iliac vein causing mechanical compression. Subsequent endothelial changes within the vessels have the potential to spur thrombus formation. Aggressive diagnostic and therapeutic interventions must be implemented upon suspicion to avoid long-term complications. We report on a 19 year old male who presented with ICS. We discuss the clinical presentation, diagnosis, and current treatment options.
Naik
Ami
A
Department of Internal Medicine, UMDNJ-Robert Wood Johnson Medical School, Camden, NJ 08103, USA. naikam@umdnj.edu
Mian
Taimur
T
Abraham
Aney
A
Rajput
Vijay
V
D000925:Anticoagulants / Q000627:therapeutic use; D000077144:Clopidogrel; D003251:Constriction, Pathologic / Q000150:complications / Q000473:pathology / Q000628:therapy; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007084:Iliac Vein / Q000473:pathology*; D035002:Lower Extremity / Q000098:blood supply / Q000473:pathology*; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D013577:Syndrome; D017131:Thrombectomy; D015912:Thrombolytic Therapy; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D020246:Venous Thrombosis / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D014859:Warfarin / Q000627:therapeutic use; D055815:Young Adult
D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors; D014859:Warfarin; D006493:Heparin; D000077144:Clopidogrel; D013988:Ticlopidine