Lumbosacral exostosis as a rare cause of iliac vein compression and significant limb swelling

Jory Wasserburger, MD; Anastasiya Haponyuk, MS-I, MD; Urvij M. Modhia, MD; Mark Langsfeld, MD; Andrew J. Paterson, MD; Muhammad A. Rana, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2019)

Lumbosacral exostosis as a rare cause of iliac vein compression and significant limb swelling

Jory Wasserburger, MD,
Anastasiya Haponyuk, MS-I, MD,
Urvij M. Modhia, MD,
Mark Langsfeld, MD,
Andrew J. Paterson, MD,
Muhammad A. Rana, MD

Affiliations

Jory Wasserburger, MD: Department of Orthopaedics and Rehabilitation, University of New Mexico Health Sciences Center, Albuquerque, NM; Correspondence: Jory Wasserburger, MD, Department of Orthopaedics and Rehabilitation, University of New Mexico Health Sciences Center, MSC10 5600, 1 University of New Mexico, Albuquerque, NM 87131
Anastasiya Haponyuk, MS-I, MD: Department of Orthopaedics and Rehabilitation, University of New Mexico Health Sciences Center, Albuquerque, NM
Urvij M. Modhia, MD: Department of Orthopaedics and Rehabilitation, University of New Mexico Health Sciences Center, Albuquerque, NM
Mark Langsfeld, MD: Division of Vascular Surgery, Department of Surgery, University of New Mexico Health Sciences Center, Albuquerque, NM
Andrew J. Paterson, MD: Department of Orthopaedics and Rehabilitation, University of New Mexico Health Sciences Center, Albuquerque, NM
Muhammad A. Rana, MD: Division of Vascular Surgery, Department of Surgery, University of New Mexico Health Sciences Center, Albuquerque, NM

Journal volume & issue: Vol. 5, no. 4
pp. 529 – 531

Abstract

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A 67-year-old woman presented to our vein clinic for chronic left lower extremity edema, pain, and varicosities. After failed conservative management, a computed tomography scan revealed central venous stenosis secondary to compression of the left common iliac vein by a large osteophyte along the anterolateral aspect of the L5-S1 disk space. An anterior osteophytectomy was performed, followed by iliac venous stenting at a 1-month interval. The patient had resolution of symptoms and remains symptom free at 15 months of follow-up. This report describes a spinal exostosis causing symptomatic venous compression successfully relieved by surgical decompression. Keywords: Iliac vein, Exostosis, Limb swelling, Venous obstruction

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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