Clinical presentations of Cockett's syndrome. 16 cases
Becquemin, J.P.; Juillet, Y.; Mexme, M.; Fiessinger, J.N.; Cormier, J.M.; Housset, E.
La Nouvelle Presse Medicale 70(12): 959-962
1981
ISSN/ISBN: 0301-1518 PMID: 7208320 Document Number: 182074
Cockett's syndrome (iliac compression syndrome) results from compression of the common iliac vein by the aortic bifurcation. The anatomical abnormality is frequent (15-20% of the population), but symptoms only appear when compression is pronounced. In a study of 16 patients, predominantly female, the following clinical presentations were observed: venous edema of the left lower limb in 4 cases; symptoms suggesting left iliac phlebitis in 3 cases; pulmonary embolism as 1st sign of peripheral venous thrombosis in 6 cases; and deterioration of angiodysplasia in 3 cases. In all patients, the diagnosis of Cockett's syndrome was confirmed by cavography. Surgical treatment, successfully performed in 13 patients, consists of uncrossing the artery and vein, and placing a clip on the vena cava in case of pulmonary embolism.