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May-Thurner Syndrome in an Elderly Man
Sittinun Thangjui1, Angkawipa Trongtorsak2, Jerel M Zoltick3
1Internal Medicine, Bassett Healthcare Network, Cooperstown, USA.
Cureus
|March 1, 2022
Summary
May-Thurner syndrome (MTS), a rare cause of deep vein thrombosis (DVT), involves iliac vein compression. This case highlights MTS diagnosis and venous stenting in an elderly male patient.
Area of Science:
- Vascular Surgery
- Radiology
- Internal Medicine
Background:
- May-Thurner syndrome (MTS) is an anatomical variant causing iliac vein compression, often leading to deep vein thrombosis (DVT).
- It is typically diagnosed in younger females with left-sided proximal DVT, rarely considered in elderly patients.
Observation:
- A 69-year-old male presented with symptoms suggestive of DVT.
- Diagnostic imaging revealed compression of the left iliac vein by the right common iliac artery against the spine, consistent with MTS.
Findings:
- The patient was diagnosed with May-Thurner syndrome, a less common cause of DVT in the elderly population.
- Successful management was achieved through the placement of a venous stent to alleviate the iliac vein compression.
Implications:
- This case expands the known demographic of MTS, emphasizing its potential occurrence in elderly individuals.
- It underscores the importance of considering MTS in the differential diagnosis of DVT, regardless of patient age.
- Venous stenting offers an effective treatment option for MTS, improving outcomes and preventing recurrent DVT.
Keywords:
cockett’s syndromedeep vein thrombosis (dvt)iliac vein stentiliocaval venous compression syndromemay-thurner's syndromepulmonary embolismMore Related Videos
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