Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Ilio-Iliac Arteriovenous Fistula with May-Thurner Syndrome: A Case Report

May-Thurner 증후군과 동반된 장골동맥-장골정맥루: 증례 보고

  • Tae Hyeon Kim (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Jae Woo Yeon (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Hyuk Jung Kim (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Suk Ki Jang (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital)
  • 김태현 (대진의료재단 분당제생병원 영상의학과) ;
  • 연재우 (대진의료재단 분당제생병원 영상의학과) ;
  • 김혁중 (대진의료재단 분당제생병원 영상의학과) ;
  • 장석기 (대진의료재단 분당제생병원 영상의학과)
  • Received : 2023.05.01
  • Accepted : 2023.08.10
  • Published : 2024.01.01
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Abstract

An ilio-iliac arteriovenous fistula (AVF) is rare. Common factors leading to ilio-iliac AVF include congenital malformations, iatrogeny, and trauma. There is limited documentation in the literature of cases involving ilio-iliac AVF with May-Thurner syndrome. Here, we present a case of an ilio-iliac AVF with May-Thurner syndrome in an 80-year-old male. CT and angiography confirmed extensive ilio-iliac AVF. Successful endovascular procedures for ilio-iliac AVF were performed using several variable-sized coils and 1400-2000 ㎛ gelatin particles. After embolization, follow-up abdominopelvic CT revealed an improvement in edema in the left leg.

장골동맥-장골정맥루는 드문 질환으로 일으키는 주요 요인으로는 선천성 이상 발생, 의인성, 외상 등이 있다. 그중에서도 May-Thurner 증후군과 동반된 장골동맥-장골정맥루에 대한 문헌은 매우 드물다. 이에 따라, 저자들은 80세 남성에서 발생한 May-Thurner 증후군과 동반된 장골동맥-장골정맥루의 증례를 보고하고자 한다. 컴퓨터단층촬영 및 혈관조영술을 통해 매우 넓은 범위의 장골동맥-장골정맥루를 확인하였고 이에 대해 다양한 크기의 색전용 코일 및 1400-2000 ㎛ 크기의 젤라틴 입자를 사용하여 색전술을 시행하였다. 색전술 이후, 추적을 위해 시행한 복부-골반 컴퓨터단층촬영에서 왼쪽 다리의 부종이 개선됨을 확인하였다.

Keywords

References

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