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

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.

• Authors: Jory Wasserburger, Anastasiya Haponyuk, Urvij M Modhia, Mark Langsfeld, Andrew J Paterson, Muhammad A Rana
• Journal: Journal of vascular surgery cases and innovative techniques (J Vasc Surg Cases Innov Tech) Vol. 5 Issue 4 Pg. 529-531 (Dec 2019) ISSN: 2468-4287 [Print] United States
• PMID: 31799480 (Publication Type: Case Reports)
• Copyright: © 2019 Published by Elsevier Inc. on behalf of Society for Vascular Surgery.