Volume 48, Issue 2 June 2024 JVU 482-110 | Iliopsoas Bursitis Compressing an External Iliac Vein Stent-482-110

482-110

Pdf Summary

The case report discusses a 78-year-old male with left lower extremity edema caused by iliopsoas bursitis compressing the external iliac vein, following total hip arthroplasty and a history of deep vein thrombosis. Initially misinterpreted as a hernia, the patient underwent venogram and intravascular ultrasound revealing severe venous stenosis. Despite stent placement, recurrence of bursitis led to repeat procedures. Ultimately, a CT scan identified a fluid collection causing stent compression. Aspiration of the fluid resolved the compression, leading to symptom improvement. The report emphasizes the importance of recognizing extrinsic venous compression and obtaining additional imaging for accurate assessment. Conservative treatments failed, necessitating stent placement to relieve chronic venous obstruction. While the patient showed improvement and underwent hip revision surgery, earlier identification of iliopsoas bursitis could have altered management. The study highlights the significance of employing various imaging modalities for comprehensive diagnosis and appropriate treatment of similar cases.

Keywords

78-year-old male

iliopsoas bursitis

left lower extremity edema

external iliac vein compression

total hip arthroplasty

deep vein thrombosis

venous stenosis

intravascular ultrasound

stent placement

extrinsic venous compression