Variant iliocaval confluence discovered during sacrocolpopexy.

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.

journal_name

Obstet Gynecol

authors

Lazarou G,Rahimi S,Cui N,Zormpa M

doi

10.1097/AOG.0b013e3182062053

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

436-437

issue

2 Pt 2

eissn

0029-7844

issn

1873-233X

pii

00006250-201102001-00004

journal_volume

117

pub_type

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