A Case of Swelling of Lower Extremity due to Iliac Vein Occlusion with IgG4-Related Idiopathic Retroperitoneal Fibrosis

(Department of Cardiovascular Surgery, Yodogawa Christian Hospital, Osaka, Japan)

Hideki Takahashi Takashi Azami
A 62-year-old man presented with a chief complaint of swelling of the left lower extremity. Idiopathic retroperitoneal fibrosis had been diagnosed 6 years previously. Enhanced computed tomography demonstrated occlusion of the left common iliac vein, but without deep vein thrombosis, and a thick dense fibrous layer around the abdominal aorta and in front of the sacrum. After we administered steroid and anticoagulant therapy, remission of the swelling of the left lower extremity was obtained. Presently steroids are being gradually tapered, and he has remained free of recurrence of the swelling of his left lower extremity.
  Jpn. J. Cardiovasc. Surg. 40:197-201(2011)

Keywords:IgG4-related idiopathic retroperitoneal fibrosis, iliac vein occlusion, swelling of the lower extremity, steroid therapy, revascularization