Iliac Vein Compression Syndrome with Chronic Leg Ulcer: A Case Report

Iliac vein compression syndrome is an uncommon process in which the right common iliac artery compresses the left common iliac vein, resulting in left iliofemoral deep vein thrombosis, severe leg edema and ulceration. We experienced a 55-year-old male patient with recurrent left leg ulcer for 15 years. Skin grafting had been done three times, but none of them healed the patient. Femoral venography showed a complete occlusion of the left common iliac vein. Palma-Dale bypass grafting procedure(crossover saphenous vein bypass grafting) and arteriovenous fistula formation was done. The leg ulcer healed two months after the operation.

A Case of Multiple Intramuscular Lipomas Combined with Nevus Lipomatosus Cutaneous Superficialis

Infiltrating lipoma is a rare, benign soft tissue tumor. Its name originates in its infiltrating growth nature which penetrates the skeletal muscle. Nevus lipomatosus cutaneous superficialis is a very rare skin anomaly characterized by ectopic adipose tissue in the dermis. We experienced a 45-years-old male patient who presented with well-defined, 10x4cm sized scapular mass and 5x4cm sized subscapular mass combined with a brown colored papule on the back. These lesions are well treated by surgical excision. Histopathological findings showed ectopic mature adipose cells in the dermis in nevus lipomatosus cutaneous superficialis and among muscle fibers in infiltrating lipoma. There is no previous report in wihch solitary nevus lipomatosus cutaneous superficialis is combined with lipomas in seperated area. Two diseases have a common that both have infiltrating nature and from this fact we could deduce that nevus lipomatosus cutaneous superficialis is originated from as infiltration to dermis of infiltrating lipoma or vice versa.