A RARE CASE OF SPONTANEOUS RUPTURE OF THE LEFT COMMON ILIAC VEIN WHICH WAS THE LATE COMPLICATION OF CAVA FILTER INSTALLATION

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Abstract

The article is dedicated to a rare case of spontaneous rupture of the pathologically altered left common iliac vein which was a late complication of the cava filter placement. To date this complication has not been described in the national medical literature. In foreign literature only 21 cases of spontaneous rupture of the iliac vein with unclear cause were registered. The article presents a case observed in the practice of the Bureau of forensic medical examination of the Moscow region. It was found that on he background of a number of conditions (occlusion of the inferior vena cava; pathological changes in the venous wall, taking into account its anatomical location; immobilized state of the patient; lack of adequate anticoagulant therapy; predisposing factors in the form of muscle tension) spontaneous rupture of the left common iliac vein should be considered as one of the late cava filter placement complications.

Conclusion. Thus, the authors of the article have established the causes of spontaneous rupture of the iliac vein, as well as proposed the inclusion of this pathology in the official list of the late cava filter placement complications. 

About the authors

Yu. V. Chumakova

Bureau of Forensic Medical Expertise of Moscow Region; Department of Forensic Medicine, M. F. Vladimirskii Moscow Regional Research and Clinical Institute

Author for correspondence.
Email: chumakova@sudmedmo.ru
ORCID iD: 0000-0002-9738-8288
Yuliya V. Chumakova, Bureau of Forensic Medical Expertise of Moscow Region Russian Federation

V. A. Tereshchenkov

Bureau of Forensic Medical Expertise of Moscow Region

Email: terezchenkov@sudmedmo.ru
Vladimir A. Tereshchenkov, main place of work: Bureau of Forensic Medical Expertise of Moscow Region Russian Federation

M. A. Kislov

Bureau of Forensic Medical Expertise of Moscow Region; Department of Forensic Medicine, M. F. Vladimirskii Moscow Regional Research and Clinical Institute

ORCID iD: 0000-0002-9303-7640
Maksim A. Kislov, Dr. Sci. (Med.), Prof., main place of work: Bureau of Forensic Medical Expertise of Moscow Region Russian Federation

Е. V. Bulanova

Bureau of Forensic Medical Expertise of Moscow Region

Email: bulanova@sudmedmo.ru
Elina V. Bulanova, main place of work: Bureau of Forensic Medical Expertise of Moscow Region Russian Federation

References

  1. Шарафеев А. З., Глущенко Л. В. Современные подходы к имплантации кава-фильтров при угрозе тромбоэмболии легочных артерий. Новости хирургии. 2016;24(2). [Sharafeev A. Z., Glushchenko L. V. Sovremennye podhody k implantatsii kava-filtrov pri ugroze tromboembolii legochnykh arterii. Novosti khirurgii. 2016;24(2). (In Russ.)].
  2. Клевно В. А., Кислов М. А., Эрлих Э. Секционная техника и технологии исследования трупов: учебное пособие. М.: Ассоциация СМЭ; 2019. ISBN 978-5-9905503-8-4. [Klevno V. A., Kislov M. A., Erlikh E. Sektsionnaya tekhnika i tekhnologii issledovaniya trupov: uchebnoe posobie. Moscow: Association of FME; 2019. (In Russ.) ISBN 978-5-9905503-8-4].
  3. Hill S., Billings P. J., Walker R. T., Dormandy J. A. True spontaneous rupture of the common iliac vein. Journal of the Royal Society of Medicine. 1990; 83;(2):117. 4. Van Damme H., Hartstein G. and Limet R. Spontaneous rupture of the iliac vein. Journal of Vascular Surgery. 1993;17(4):757–758. doi: 10.1016/0741– 5214(93)90121–2.
  4. Nishida S., Arikawa K., Yamashita M., et al. Spontaneous rupture of left external iliac vein: A case report. Nihon Geka Gakkai Zasshi. 1993;94(4):424–426. 6. Majeed S. M., Pheils P. J. Spontaneous rupture of the left external iliac vein. The British Journal of Clinical Practice. 1993;47(6):109–110.
  5. Yamada M., Nonaka M., Murai N., Hanada H., Aiba M., Funami M., et al. Spontaneous rupture of the iliac vein: Report of a case. Surgery Today. 1995;25(5):465–467. doi: 10.1007/BF00311830

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Copyright (c) 2019 Chumakova Y.V., Tereshchenkov V.A., Kislov M.A., Bulanova Е.V.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 60835 выдано 09.09.2021 г. 
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 – 59181 выдано 03.09.2014
г.



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