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May-Thurner syndrome found incidentally after left femoral catheterization in a pediatric patient

Kun Moo Lee1, Ji Kyoung Park, Se Hun Lim

  • 1Department of Anesthesiology, Paik Hospital, Inje University, Busan, Korea.

Pediatric Blood & Cancer
|October 28, 2010
PubMed

Insights

May-Thurner syndrome, a rare condition causing left common iliac vein compression, was incidentally found in a child with juvenile myelomonocytic leukemia (JMML). The diagnosis occurred post-chemotherapy catheterization, with no associated symptoms or thrombosis.

Area of Science:

  • Vascular Surgery
  • Pediatric Oncology
  • Radiology

Background:

  • May-Thurner syndrome involves compression of the left common iliac vein, leading to potential stenosis and thrombosis.
  • This condition is typically associated with chronic or repetitive mechanical stress.

Observation:

  • A case report details May-Thurner syndrome discovered incidentally in a 25-month-old child undergoing chemotherapy for juvenile myelomonocytic leukemia (JMML).
  • The diagnosis was made via computed tomography (CT) after femoral catheterization.
  • The child presented with no symptoms directly related to the May-Thurner syndrome itself.

Findings:

  • Computed tomography confirmed May-Thurner syndrome without evidence of deep vein thrombosis.
  • The underlying cause of death was sepsis, unrelated to the vascular compression.

Implications:

  • Highlights the importance of considering rare vascular anomalies in pediatric patients, even incidentally.
  • Suggests that May-Thurner syndrome may exist asymptomatically in younger populations.
  • Underscores the need for comprehensive diagnostic imaging in complex pediatric cases.

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