To present a case of spontaneous iliac vein rupture (SIVR) complicated by deep vein thrombosis (DVT) and review relevant literature to inform clinical practice, emphasizing the need for increased awareness and standardized treatment protocols.
Approach:
Key Findings:
SIVR is rare and predominantly affects middle-aged women, often involving the left iliac vein.
It is frequently complicated by DVT, with venous compression from May-Thurner syndrome as a critical predisposing factor that warrants further investigation.
Venography is essential for definitive diagnosis.
Endovascular treatment is effective and safe for hemodynamically stable patients.
Interpretation:
The case highlights the importance of recognizing SIVR and the role of endovascular interventions in its management.
Limitations:
The study is based on a single case report, limiting generalizability.
Long-term outcomes beyond one year were not assessed, which may affect the understanding of treatment efficacy.
Conclusion:
SIVR is a serious condition that requires prompt diagnosis and individualized treatment strategies to improve prognosis, highlighting the need for clinical vigilance.
