Images in Gynecologic Surgery

External Iliac Vein Aneurysm Pedro F. Escobar, MD*, Jesus Manuel Salgueiro-Bravo, MD, Luis G. Del Pilar Rodriguez, MD, and Annie Vaillant, MD From the Instituto Gyneco-Oncologico, HIMA-Oncologico, San Juan, Puerto Rico (Drs. Escobar and Salgueiro-Bravo), Department of Obstetrics and Gynecology, Ponce School of Medicine, Ponce, Puerto Rico (Dr. Del Pilar Rodriguez), and Department of Obstetrics and Gynecology, San Juan City Hospital, San Juan, Puerto Rico (Dr. Vaillant).

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Although venous aneurysms occur most commonly in the neck and thoracic veins, they also have been reported in the extremities. Iliac vein aneurysms are rare vascular anomalies; they are classified as primary aneurysm of

Fig. 1

unknown cause in the majority of the cases or, when a cause could be identified, as secondary iliac vein aneurysm. We present a 54-year-old asymptomatic woman in whom a right external iliac vein aneurysm was incidentally found during the retroperitoneal node dissection for the management of a Federation Internationale de Gynecologie et d’Obstetrique grade 3 adenocarcinoma of the endometrium (Figs. 1 and 2).

External iliac vein aneurysm during laparoscopic pelvic node dissection.

Fig. 2 External iliac vein aneurysm during laparoscopic pelvic node dissection.

The authors declare no conflict of interest. Corresponding author: Pedro F. Escobar, MD, Instituto Gyneco-Oncologico, Cleveland Clinic Lerner College of Medicine, 100 Grand Paseos Blvd, PMB 236, Suite 112 San Juan, PR 00926. E-mail: [email protected] Submitted January 30, 2015. Accepted for publication February 3, 2015. Available at www.sciencedirect.com and www.jmig.org 1553-4650/$ - see front matter Ó 2015 AAGL. All rights reserved. http://dx.doi.org/10.1016/j.jmig.2015.02.005

External Iliac Vein Aneurysm.

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