Isolated iliac vein injury from blunt trauma.

A case of isolated iliac vein disruption from blunt abdominal trauma is described. Hypotension and the presence of a massively swollen lower extremity suggested the diagnosis. Dissection of the femoral vein allowed us to use venography to delineate the injury and to gain proximal inflow control. A 4 cm longitudinal tear of the external iliac vein was identified and repaired. No other cases of isolated iliac vein injury from blunt trauma could be identified.