Open AccessFunctional magnetic resonance angiography in the diagnosis of iliac artery endofibrosis in an endurance runner
Author(s) -
Tommy Y. Cai,
Saissan Rajendran,
David Robinson
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-232112
Subject(s) - medicine , external iliac artery , magnetic resonance imaging , claudication , magnetic resonance angiography , radiology , angiography , external iliac vein , endarterectomy , iliac artery , intermittent claudication , surgery , vein , stenosis , vascular disease , arterial disease
A 45-year-old woman was presented with a 2-year history of left lower limb claudication symptoms occurring only during long-distance running. Multimodal imaging with exercise duplex ultrasonography and magnetic resonance angiogram confirmed the presence of flow-limiting stenoses in the left external iliac artery consistent with a diagnosis of left external iliac artery endofibrosis. She successfully underwent a left external iliac endarterectomy with vein patch repair and returned to full physical activity soon after. A year following full recovery from her original operation, she presented with similar symptoms on the right side and was managed in a similar manner. This report illustrates an unusual case of bilateral iliac artery endofibrosis occurring in an older endurance runner. We also present a novel diagnostic modality of pre-exercise and postexercise magnetic resonance angiography for iliac endofibrosis.