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Updated: Oct 29, 2025
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[May-Thurner syndrome as a cause of abdominal pain: Case report]
Yelson Alejandro Picón-Jaimes1, Luis Ernesto Echeverry-Lenis2, Javier Esteban Orozco-Chinome3
1Centro Médico Medicien, Unidad de Consulta Externa. Santiago, Chile.
Background:
The May-Thurner syndrome consists of an anatomical anomaly of the iliac veins that predisposes the person presenting it to the appearance of venous insufficiency and recurrent thrombotic episodes of the lower limbs. The aim of this article was to present a case of this pathology, highlighting a rare symptom that led to its diagnosis.
Case Report:
46-year-old woman with severe abdominal pain in the right iliac fossa not associated with other gastrointestinal symptoms or fever. Contrast tomography of the abdomen and pelvis reported bilateral common iliac vein thrombosis. After ruling out acute surgical abdomen or immunological pathologies, an abdominal-pelvic angiography was performed, which led to the diagnosis of May-Thurner syndrome. It was performed endovascularly, pharmaco-mechanical thrombolysis, balloon plasty, and stent installation.
Conclusions:
This type of abdominal vascular compression syndromes are rare and require a high index of suspicion to be diagnosed, which is why publications of this type of pathology take on relevance since they teach readers about the pathology.
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