Spontaneous rupture of the iliac vein

Ryan Joseph, Jimie Owsley

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Spontaneous iliac vein rupture is a rare diagnosis with less than 40 cases documented worldwide. There are certain similarities between many of the previously reported cases described in the literature and there are various proposed theories as to why patients develop a spontaneous rupture. A delay in diagnosis is not uncommon and the mainstay of treatment is laparotomy. Here, we report a case of a 51-year-old female with lower extremity swelling for 2 days who subsequently developed hemorrhagic shock and had to be taken emergently to surgery, where a rupture of the common and external iliac veins was identified. After multiple blood products, vasopressors, and continuous renal replacement therapy the patient expired on day 3 of hospitalization.

Original languageEnglish (US)
Pages (from-to)1585.e3-1585.e4
JournalAmerican Journal of Emergency Medicine
Issue number10
StatePublished - Oct 2017
Externally publishedYes


  • Cockett Syndrome
  • Common iliac vein
  • External iliac vein
  • Hemorrhagic shock
  • May Thurner syndrome
  • Spontaneous iliac vein rupture
  • Uterine fibroids

ASJC Scopus subject areas

  • Emergency Medicine


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