In our investigation, we found a few reports of leiomyosarcomas arising from the external iliac vein
, but no report of leiomyosarcoma originating from a branch vessel of this vein.
The tumor is located around the external iliac artery (a) and the external iliac vein
An end-to-side arterial anastomosis to the left branch of the ABFB was performed and an end-to-side venous anastomosis to the external iliac vein
with no significant complications was performed.
However, a 1.8 x 1.8-cm transplant renal vein aneurysm (RVA) was discovered between the hilum and primary renal vein anastomosis with the external iliac vein
. Urologic consultation was sought and as the patient's clinical symptoms improved, surveillance was recommended.
After a cold ischemia time of 143 min the transplantation was performed on the left iliac axis with vascular anastomosis between the renal artery and the common iliac artery and renal vein and external iliac vein
. Bladder anastomosis was performed in a modified Lich-Gregoir technique.
to the external iliac vein
. Ureteral drainage is restored preferably by means of ureteroneocystostomy.
The limited LN dissection is generally described as an extirpation of lymphatic tissue in the obturator fossa between the obturator nerve and the external iliac vein
.[sup.11] Another method of limited LN dissection, usually referred to as a conventional PLND[sup.12] or a standard LN dissection,[sup.13] includes the area stretching laterally as far as the genitofemoral nerve and posteriorly to the internal iliac vessels.
The renal vein is attached in an end-to-side anastomosis to the external iliac vein
. Ureteral drainage is restored, preferably by means of ureteroneocystostomy.
Our standard PLND involves the dissection and removal of lymphatic tissue from the level of the external iliac vein
to the obturator nerve, extending proximally to the common iliac artery bifurcation and distal to the proximal femoral canal to include the node of Cloquet.
Recently, Mattei and colleagues examined the primary prostate lymphatic drainage sites in PCa patients.[sup.1] In their report, they defined "limited PLND" as the removal of LNs along the external iliac vein
and obturator nerve; they reported that this dissection missed up to 62% of the primary LNs.
Her history was further complicated by chronic thromboses of multiple prior bilateral upper extremity and left lower extremity dialysis grafts, extending to the sub-clavian and external iliac veins