External iliac venous aneurysm in a pregnant woman: a case report

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Presentation transcript:

External iliac venous aneurysm in a pregnant woman: a case report Hiroshi Banno, MD, Dai Yamanouchi, MD, Hiromine Fujita, MD, Junichi Nagata, MD, Masayoshi Kobayashi, MD, Masahiro Matsushita, MD, Naomichi Nishikimi, MD, Kimihiro Komori, MD Journal of Vascular Surgery Volume 40, Issue 1, Pages 174-178 (July 2004) DOI: 10.1016/j.jvs.2004.02.043

Fig 1 A, Computed tomogram showing an aneurysmal dilatation of the external iliac vein, 8 cm in diameter, which is compressing the bladder. B, Preoperative ascending venogram showing a solitary, saccular aneurysm. Journal of Vascular Surgery 2004 40, 174-178DOI: (10.1016/j.jvs.2004.02.043)

Fig 2 Intraoperative photographs. A, The venous aneurysm (large arrows), exposed through a left lower quadrant retroperitoneal incision and a vertical left femoral incision, was located medial to the external iliac artery (arrows). B, The aneurysm was opened after clamping of the iliac vein proximally and distally. No clot was seen within the aneurysm, and the aneurysmal wall was thin and smooth. Journal of Vascular Surgery 2004 40, 174-178DOI: (10.1016/j.jvs.2004.02.043)

Fig 3 A, Intraoperative photograph. Lateral venorrhaphy was made by the continuous suture with four stay sutures. The length was about 6 cm. B, Postoperative ascending venogram showing the patent external iliac vein without dilatation. Arrows indicate the region of venoplasty. Journal of Vascular Surgery 2004 40, 174-178DOI: (10.1016/j.jvs.2004.02.043)