Case and Plan:
35-year-old female with CVI related to external compression presents for venogram and intervention. CEAP clinical class 6 CVI. Etiology secondary to compression or obstruction, and patient continues to have compression with symptoms after myomectomy. Narrowing of the bilateral common iliac veins, potentially representing chronic narrowing secondary to previously demonstrated mass effect from resected fibroid. There is focal compression of the left common iliac vein by the bilateral common iliac arteries, and May Thurner physiology cannot be ruled out.