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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 2, March 2014 pp 403-405

Research Article

Isolated External Iliac Vein Occlusion Presenting as Primary Chronic Venous Disease (CVD) –

A Diagnostic Pitfall


N. Sivaprahasam1, G. P. Sekar2, A. Janani3

1Professor, 2Associate Professor, 3Intern

Department of General Surgery, Sri Venkateswara Medical College Hospital and Research Centre, Puducherry 605102, INDIA.

Academic Editor : Dr. Aher K. R.


Secondary varicose veins/secondary CVD is most often due to deep venous occlusion. The causes for deep venous occlusion can be thrombotic or non-thrombotic. Irrespective of the cause, the manifestations are similar in secondary CVD and the management is usually conservative or reconstructive venous surgery. In contrast, primary varicose veins are treated by ablative surgery. Applying ablative venous surgery to secondary varicose veins will prove disastrous. Here we present a case of isolated iliac vein occlusion manifesting as primary CVD on color Doppler study and discuss how to overcome this diagnostic pitfall and avoid disastrous consequences of mistreatment.