RESUMEN
Iliac vein aneurysms are extremely rare, even amongst vein aneurysms. We discuss the case of a 26-year-old man with an external iliac vein aneurysm, likely secondary to iatrogenic vascular trauma in the neonatal period. It is the first reported case of an iliac vein aneurysm presenting with lower urinary tract symptoms. Attempts at endovenous management were unsuccessful and therefore the patient underwent open aneurysmectomy. A PubMed literature search revealed a total of nine case reports of iliac vein aneurysms published in English since 2011. We discuss the aetiology, presentation, investigation and management of iliac vein aneurysms and compare to our own case.
RESUMEN
The public is becoming increasingly aware of the symptoms of deep vein thrombosis (DVT) due to the so-called 'economy class' syndrome. However, arterial rupture can mimic these symptoms. We report of a misdiagnosis of a ruptured 'fem-pop' vein graft (previously unreported) presenting identically as a DVT. The patient received conventional anticoagulation treatment which could have resulted in disastrous consequences.