Percutaneous Ethanol Sclerotherapy for Recurrent Adventitial Cystic Disease of External Iliac Vein after Surgical Treatment: A Case Report

Abstract

Adventitial cystic disease (ACD) is an uncommon condition that accounts for only 0.1% of all vascular disease (1), and it mainly affects young men with intermittent claudication. It is most commonly seen in the popliteal artery, but it has also been reported in the external iliac, femoral, ulnar and radial arteries. Very few reports of this disease have been described in the venous system such as the common femoral vein, the popliteal vein, the wrist area veins, the lesser saphenous vein and the external iliac vein (2). Surgery has been known to be a standard therapy for this disease. Also there have been reports about less invasive technique such as percutaneous aspiration and angioplasty. However, several recurrences have been reported in these less invasive therapies (3). To the best of our knowledge, there is no report about management of recurrent ACD after surgery with percutaneous drainage and use of absolute ethanol as sclerosis agent. Here we report a case of successful treatment by percutaneous drainage and ethanol sclerotherapy for recurrent ACD of left external iliac vein that was previously treated by cyst excision and patch angioplasty.