Abstract

Iliac vein agenesis is a rare condition, which can lead to symptoms of CVI of lower limbs and to DVT. CTV, MRV and phlebography are effective methods on diagnosis. The treatment of these patients consists of anticoagulation in cases of DVT and venous grafts in cases of CVI. The patient is a 28-year-old female, with history of varicose veins in her face when she was a baby, varicose veins in lower limbs, edema and pain in adolescence and varicose veins in the abdominal wall and thorax in adulthood. She underwent Venous Ultrasound of lower limbs that identified saphenous and tributary insufficiency and no signs of DVT. She then had MRV of thorax, abdomen and pelvis that identified external iliac vein agenesis and collateral veins in all three areas.

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