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Clot Mayhem: A Case of May-Thurner Syndrome

Asrar Ahmad1, Muhammad A Zain2, Ammar A Ashfaq1

  • 1Internal Medicine, Abington Memorial Hospital, Abington, USA.

Cureus
|March 27, 2019
PubMed

Insights

May-Thurner syndrome (MTS) can cause recurrent deep venous thrombosis (DVT). Successful treatment involved venous stenting for iliac vein compression, resolving the patient's severe DVT symptoms.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Hematology

Background:

  • May-Thurner syndrome (MTS), or iliac vein compression syndrome, involves anatomical compression of the left common iliac vein by the right common iliac artery.
  • This compression can lead to blood stasis and predispose individuals to deep venous thrombosis (DVT) in the iliofemoral system.

Observation:

  • A patient with a history of DVT and therapeutic anticoagulation presented with recurrent left leg swelling and pain.
  • Initial treatments including anticoagulation, thrombolysis, and mechanical thrombectomy were unsuccessful in resolving the massive DVT.

Findings:

  • Venous Doppler ultrasound confirmed MTS with significant left common iliac vein compression.
  • The patient's DVT resolved after successful venous stent placement in the iliac vein.

Implications:

  • Venous stenting is an effective treatment for May-Thurner syndrome-associated DVT.
  • This case highlights the importance of diagnosing MTS in recurrent or refractory DVT cases.
  • Combined interventional and medical management can achieve successful outcomes in complex DVT cases.

Keywords:
cockett's syndromedeep venous thrombosisdvtiliac vein compression syndromeiliofemoral venous stentingir guided thrombectomymay thurner syndromerecurrent dvtwarfarin failure

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