Variant iliocaval confluence discovered during sacrocolpopexy

George Lazarou, Salma Rahimi, Nuan Cui, Maria Zormpa

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Background: Laceration of the iliac veins and their branches is a feared complication in abdominal sacral colpopexy. Hemorrhages can be extensive and difficult to control. Case: We report a case of a patient who, while undergoing abdominal sacral colpopexy, was found to have confluence of the iliac veins at the level of the second sacral vertebra instead of the expected fourth lumbar to first sacral vertebral bodies. The intraoperative course had to be revised because of the increased risk of bleeding. The patient tolerated the procedure well and without any complications. Conclusion: With pelvic reconstructive surgery becoming more commonplace, knowledge of possible anomalous vessels is important because modification of planned surgical approach may be necessary to avoid short-term and long-term complications.

Original languageEnglish (US)
Pages (from-to)436-437
Number of pages2
JournalObstetrics and gynecology
Volume117
Issue number2 PART 2
DOIs
StatePublished - Feb 1 2011

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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