A unique case of acute bilateral internal iliac deep vein thrombosis leading to right iliofemoral venous outflow obstruction

• Published in: Journal of vascular surgery cases and innovative techniques Vol. 9; no. 1; p. 101053
• Main Authors: Melian, Christina M., Giannopoulos, Stefanos, Lee, Mary, Kokkosis, Angela A.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-03-2023; Elsevier
• Subjects: Case report; Deep venous thrombosis; Hypogastric vein; Iliofemoral; Internal iliac vein; Phlegmasia; Thrombectomy; Hypogastric vein; Thrombectomy; Phlegmasia; Iliofemoral; Deep venous thrombosis; Internal iliac vein
• ISSN: 2468-4287; 2468-4287
• DOI: 10.1016/j.jvscit.2022.10.011

Venous thromboembolism has been associated with high morbidity and mortality, with a cost burden for the U.S. health care system owing to secondary complications such as pulmonary embolism and post-thrombotic syndrome. The current standard of therapy for acute deep vein thrombosis (DVT) is anticoagulation. For patients with venous outflow obstruction of the iliac vein system, several minimally invasive recanalization techniques are now available. In the present report, we have described a case of bilateral internal iliac DVT that had progressed to right-sided iliofemoral DVT in a young athletic adult, in the absence of anatomic abnormalities, that was treated with thrombolysis-free mechanical thrombectomy.