title: Successful treatment of a spontaneous rupture of the left external iliac vein in a man.
abstract: Spontaneous rupture of the external iliac vein associated with a May-Thurner syndrome is infrequent, particularly in men. We report a case of previously healthy 73-year-old man with a left iliac vein thrombosis, who presented a large lower left abdominal hematoma of sudden-unset. Emergent laparotomy revealed a 3-cm longitudinal tear in the left external iliac vein, which was repaired primarily. Patient's recovery was uneventful. Possible etiological factors have been identified as venous hypertension due to iliac vein thrombosis associated with Cockett syndrome, as well as inflammatory venous wall. Some other estrogenic factors could explain female preponderance of the event.
authors.forename: Nirvana
authors.initials: N
authors.lastname: Sadaghianloo
authors.forename: Elixine
authors.initials: E
authors.lastname: Jean-Baptiste
authors.forename: Pierre
authors.initials: P
authors.lastname: Haudebourg
authors.forename: Serge
authors.initials: S
authors.lastname: Declemy
authors.forename: Aurdlien
authors.initials: A
authors.lastname: Mousnier
authors.forename: Rida
authors.initials: R
authors.lastname: Hassen-Khodja
mesh_terms: D000368:Aged; D006801:Humans; D007084:Iliac Vein / Q000473:pathology* / Q000601:surgery*; D008297:Male; D062108:May-Thurner Syndrome / Q000473:pathology* / Q000601:surgery*; D012422:Rupture, Spontaneous / Q000601:surgery; D020246:Venous Thrombosis / Q000473:pathology