Spontaneous Iliac Vein Rupture Due to May-Thurner Syndrome and Its Staged Management

Michael Ingram, Julia Miladore, Alok Gupta, John Maijub, Keisin Wang, Andres Fajardo, Raghu Motaganahalli

Research output: Contribution to journalArticle


We present a case of a 58-year-old otherwise healthy women who presented with left lower extremity deep venous thrombosis and was found to have pulmonary embolism along with a ruptured left internal iliac vein. Our patient was hemodynamically stable upon presentation; therefore, a staged approach was undertaken. Initially, an inferior vena cava filter was placed and the patient was slowly advanced to therapeutic anticoagulation and subsequently discharged. She then returned 2 weeks after discharge for venogram, mechanical thrombectomy, and stenting. At 1-year follow-up in clinic, she was found to have patent stents and resolution of symptoms.

Original languageEnglish (US)
JournalVascular and Endovascular Surgery
StatePublished - Jan 1 2019


  • deep venous thrombosis
  • May-Thurner syndrome
  • pulmonary embolism
  • spontaneous iliac vein rupture

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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