May-Thurner Syndrome: A Case Report and a Concise Review
Ahmed Al Sinani1, Waleed Al Saadi2, Salma Al Harthi2
1Internal Medicine, The Royal Hospital, Muscat, OMN.
Cureus
|August 10, 2021
Summary
May-Thurner syndrome (MTS), a condition causing left iliac vein compression, can lead to deep vein thrombosis (DVT) and pulmonary embolism (PE). Early diagnosis and intervention are crucial for managing this complex vascular disorder.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cardiology
Background:
- May-Thurner syndrome (MTS) involves left common iliac vein compression by the right common iliac artery, predisposing individuals to venous thrombosis.
- While often asymptomatic or presenting with vague symptoms, MTS can lead to severe complications like deep vein thrombosis (DVT) and pulmonary embolism (PE).
Observation:
- A 31-year-old male presented with extensive DVT and PE following trauma and immobilization.
- Contrast venography confirmed May-Thurner syndrome as the underlying cause.
Findings:
- The patient was treated with anticoagulation, IVC filter, mechanical thrombectomy, thrombolysis, and iliac vein stenting.
- Successful management involved addressing both the thrombus and the anatomical defect.
Implications:
- This case highlights the importance of considering MTS in young patients with DVT/PE, especially after immobilization.
- Prompt diagnosis and comprehensive treatment, including stenting, can prevent life-threatening complications and improve outcomes for MTS-related venous thromboembolism.
Keywords:
balloon angioplasty with stentcocket’s syndromedeep vein thrombosis (dvt)iliac vein compression syndromemay-thurner's syndromepulmonary embolism (pe)thromboembolismMore Related Videos
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