Summary

We report a case of a patient with deep vein thrombosis including the iliac vessels, after conservative therapy of the same disease at the contralateral leg in the past. Due to a beginning compartment syndrome an operative therapy was preferred. Because of a renal insufficiency a preoperative imaging could not be performed. After venous thrombectomy we found causal for the thrombosis a high grade vena cava and vena iliaca communis stenosis. We performed an interventionel therapy. The follow-up examination showed a complete asymptomatic leg, which undervent operative treatment, by unchanged continuous symptomatic contralateral leg, which undervent conservative therapy. The high grade vena cava stenosis is probably based on a unknown ascensation of the deep vein thrombosis of the contralateral leg.