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Recurrent unilateral cellulitis: is it May-Thurner syndrome (MTS)?
1Department of Vascular Surgery, Cairns Hospital, Cairns North, Queensland, Australia.
BMJ Case Reports
|July 7, 2019
Summary
May-Thurner syndrome (MTS) is a rare condition causing leg swelling. Early diagnosis of MTS is crucial for successful treatment of recurrent cellulitis and chronic limb edema.
Area of Science:
- Vascular Surgery
- Radiology
- Internal Medicine
Background:
- May-Thurner syndrome (MTS) is a vascular compression disorder.
- It often presents with symptoms mimicking other conditions like recurrent cellulitis.
Observation:
- A 73-year-old woman experienced recurrent left lower limb cellulitis.
- Imaging revealed a stenosed left common iliac vein (CIV) due to right common iliac artery compression, indicative of MTS.
Findings:
- The patient's chronic condition complicated attempts at venous recanalization.
- MTS diagnosis was confirmed via CT scan showing left CIV stenosis.
Implications:
- MTS should be considered in patients with chronic unilateral limb swelling or cellulitis.
- Early detection of MTS is key for effective treatment and management of associated venous complications.
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