PMC4310100_01
Computed tomography abdomen/pelvis showing inflated reservoir compressing external iliac vein and resultant occlusive thrombus distal to reservoir. Green arrows show the reservoir; white arrows on the left show external iliac vein wrapped around the reservoir; red arrows on the right show thrombus filled distal external iliac vein
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F1
Ultrasound confirmed extensive, completely occlusive DVT starting from the inactivated (full) reservoir, extending 12 cm distally in the external iliac and femoral vein [Figure 1].
Computed tomography abdomen/pelvis after return to theatre. Green arrow shows the deflated initial reservoir; white arrows show the external iliac vein, still wrapped around fluid filled cystic structure; blue arrow shows the placement of new subcutaneous reservoir
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F2
The external iliac vein remained compressed by a fluid filled pseudo-capsule at the site of initial reservoir placement [Figure 2].