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Internal iliac vein drains the pelvic viscera, gluteal region, and the perineal region. Knowledge of its variations is of importance to radiologists, gynecologists, and orthopedic surgeons. We found one of the rare variations of the internal iliac vein during our cadaveric dissections. The right internal iliac vein had anterior and posterior trunks. The anterior trunk joined the external iliac vein to form the common iliac vein. The posterior trunk terminated into the common iliac vein. There was a broad communication between anterior and posterior trunks. Further, there were two venous rings formed by the tributaries of the internal iliac veins. One of them surrounded the superior gluteal artery and the other surrounded the internal pudendal and inferior gluteal arteries. Here, we discuss the clinical importance of the case.
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http://dx.doi.org/10.1007/s12565-024-00812-3 | DOI Listing |
Surg Radiol Anat
September 2025
Orthopaedics and Traumathology Department, ULS São João, Porto, Portugal.
Purpose: Pelvic ring fractures involving the iliopubic rami can cause functional impairment. Percutaneous retrograde fixation is a less invasive procedure when compared to traditional open approaches, however precise anatomical knowledge is crucial for safe screw placement. This study aims to describe the morphology of the iliopubic rami, define a safety corridor for percutaneous screw fixation, specially focusing on the relationships between the iliopubic rami and neurovascular structures.
View Article and Find Full Text PDFAnn Vasc Dis
August 2025
Department of Cardiovascular Surgery, Nara Prefecture General Medical Center, Nara, Nara, Japan.
Intravenous leiomyomatosis with intracardiac extension is a rare benign tumor originating from uterine smooth muscle. A 50-year-old woman presented with a cardiac mass 3 years after hysterectomy. Imaging revealed a tumor extending from the right internal iliac vein to the right atrium.
View Article and Find Full Text PDFVasc Endovascular Surg
September 2025
Luminis Health Anne Arundel Medical Center, Department of Surgery, Annapolis, MD, USA.
A 49-year-old female presented with subacute onset of severe worsening bilateral lower extremity swelling. Bilateral iliac venous thrombus and extensive thrombus of the inferior vena cava with extension to the right atrium and bilateral segmental pulmonary emboli was identified on imaging. She was initiated on therapeutic anticoagulation prior to undergoing percutaneous mechanical thrombectomy with the RevCore TM device (Inari Medical, Irvine, CA) with retrieval of white, relatively well-formed organized clot vs mass.
View Article and Find Full Text PDFJ Vasc Surg Venous Lymphat Disord
September 2025
Division of Vascular and Interventional Radiology, Boston Children's Hospital and Harvard Medical School, Boston, MA.
Objective: To evaluate the feasibility, safety, and clinical applications of ultrasound-guided direct percutaneous access to ectatic abdominal veins for the embolization of vascular malformations.
Methods: The medical records, imaging studies, and procedural details were retrospectively reviewed for patients who underwent embolization procedures for vascular malformations with ultrasound-guided percutaneous access to intraabdominal veins, including pelvic, retroperitoneal, and portomesenteric veins.
Results: A total of 38 direct percutaneous vein accesses were performed across 25 procedures in 9 patients (age range: 3-58 years).
Cureus
August 2025
Department of Anesthesiology, Perioperative Medicine, and Pain Management, Jackson Memorial Hospital, Miami, USA.
May-Thurner syndrome (MTS) is characterized by the compression of the left common iliac vein by the overlying right common iliac artery, which can lead to venous insufficiency, obstruction, and an increased risk of iliofemoral deep vein thrombosis (DVT) and pulmonary embolism (PE). We report the perioperative anesthetic management of a 38-year-old female with symptomatic MTS who underwent a total laparoscopic hysterectomy, bilateral salpingectomy, and lysis of adhesions for abnormal uterine bleeding. The patient had a history of persistent left lower extremity symptoms despite prior left common iliac vein stenting and was on chronic anticoagulation therapy with rivaroxaban.
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