Reconstruction of External Iliac Vein for an Iatrogenic Venous Hypertension due to Iatrogenic Vein Injury, A Case Report

Iatrogenic major vessel injuries are rare but life-threatening complications for oncologists.Although the procedures for arterial reconstruction are clear and precise, venous repair techniques are controversial.In case of excessive exanguination, prompt surgical intervention is required.Repair techniques such as venorrhaphy, patching, and end-to-end anastomosis should be considered.If ligation is performed in the major vein, clinical signs of venous hypertension, such as swelling and edema, may occur.We performed interposition between the femoral vein and common iliac vein using a 10-mm dacron graft.Graft interposition is a safe and effective surgical procedure when necessary to restore venous blood flow.Our aim is to contribute to the literature on this gray area with the surgical intervention we applied in such a complicated case.