A Rare Finding of Thrombosed Bilateral Giant External Iliac Vein Aneurysms

Abstract

A 70 year old man presented with severe left lower limb oedema and pain. He had a history of bilateral deep vein thrombosis 20 years ago. (A) Computed tomography phlebography revealed previously unknown bilateral thrombosed external iliac vein aneurysms (arrows), 45 mm and 63 mm on the right and left, respectively. The thrombus extended to both femoral veins being occlusive on the left side. (B) Transpopliteal catheter directed thrombolysis was performed on the symptomatic left side. Although venous aneurysm recanalisation was not achieved, the patient improved due to femoral vein and venous collateral blood clot lysis (arrowheads).Image 1