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Symptomatic May-Thurner Syndrome Without Deep Venous Thrombosis
Keegan S McNally1, Latha Ganti2, Vanessa I Diaz3
1Emergency Medicine, University of Central Florida College of Medicine / Hospital Corporation of America Graduate Medical Education Consortium of Greater Orlando, Orlando, USA.
Cureus
|December 31, 2019
Summary
Symptomatic May-Thurner syndrome can occur without deep venous thrombosis, a rare presentation. Early diagnosis and stenting are crucial to prevent complications like blood clots and lifelong anticoagulation.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Medical Case Reports
Background:
- May-Thurner syndrome (MTS) involves iliac vein compression, typically presenting with deep venous thrombosis (DVT).
- Diagnosis often relies on identifying DVT, potentially overlooking MTS in its absence.
Observation:
- This case highlights symptomatic MTS presenting without concurrent DVT.
- The patient's symptoms prompted investigation despite the absence of a typical DVT finding.
Findings:
- Diagnostic workup confirmed MTS as the cause of symptoms.
- The condition is frequently underdiagnosed due to its atypical presentation.
Implications:
- Considering MTS in symptomatic patients, even without DVT, is essential for accurate diagnosis.
- Timely intervention with stenting can prevent significant morbidity, including clot burden and unnecessary anticoagulation.
Keywords:
may-thurner syndrome
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