Abstract
Spontaneous iliac vein rupture is rare and only several cases have been reported. We encountered an additional case in a 83-year-old woman, who had been suffering from abdominal pain and hypotension. The preoperative computed tomography scan demonstrated massive hemoperitoneum, a normal arterial system and an intraluminal thrombus at the left common iliac vein. An emergency laparotomy was performed revealing rupture of the left external iliac vein. The ruptured vein was ligated and the postoperative course was good. The preoperative diagnosis of spontaneous iliac vein rupture is difficult, but the presence of intraluminal thrombus in the iliac vein may be a specific finding of this disease.
