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October 1983

Spontaneous Rupture of the Left Iliac Vein

Arch Surg. 1983;118(10):1227. doi:10.1001/archsurg.1983.01390100089023

To the Editor.—Spontaneous rupture of the iliac vein is a rare occurrence, with only four cases reported in the literature.1-4 We report an additional case.

Report of a Case.—A 48-year-old man being treated for pneumonia suddenly had severe lower abdominal pain accompanied by a brief loss of consciousness after bending over. Numbness of the left leg and cyanosis were noted and the patient was taken to the hospital, where he arrived one hour after the incident.

On arrival at the hospital he was pale and perspiring and showed signs of oligovolemic shock. His BP was 60/0 mm Hg and his pulse was 130 beats per minute. The hematocrit level was 27% and the hemoglobin level was 8.3%. There were dull percussion sounds at the base of the right lung, and coarse crepitant rales were heard. The abdomen was moderately distended, with marked muscle spasm. A tender mass