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

Jory Wasserburger; Anastasiya Haponyuk; Urvij M Modhia; Mark Langsfeld; Andrew J Paterson; Muhammad A Rana

doi:10.1016/j.jvscit.2019.05.006

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

J Vasc Surg Cases Innov Tech. 2019 Nov 22;5(4):529-531. doi: 10.1016/j.jvscit.2019.05.006. eCollection 2019 Dec.

Authors

Jory Wasserburger¹, Anastasiya Haponyuk¹, Urvij M Modhia¹, Mark Langsfeld², Andrew J Paterson¹, Muhammad A Rana²

Affiliations

¹ Department of Orthopaedics and Rehabilitation, University of New Mexico Health Sciences Center, Albuquerque, NM.
² Division of Vascular Surgery, Department of Surgery, University of New Mexico Health Sciences Center, Albuquerque, NM.

Abstract

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: Exostosis; Iliac vein; Limb swelling; Venous obstruction.

Publication types

Case Reports