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May-Thurner Compressive Syndrome Unmasked by Rapid Weight Loss
Hesham A Hassan1, Jan-Paul Sambataro1, James C Abraham1
1USF Morsani College of Medicine GME Programs, Brandon Regional Hospital, Brandon, FL.
Abstract:
Description May-Thurner Syndrome (MTS) is an anatomical syndrome characterized by a predisposition to clot formation when there is compression of the left iliac vein by the right iliac artery. In this case, we discuss an atypical presentation of MTS in a young male after rapid weight loss. The patient was admitted for an unprovoked massive proximal deep vein thrombosis (DVT) after a two-hundred-pound weight loss during the preceding six-month period. Treatment involved mechanical thrombectomy by interventional radiology, initiation of apixaban and recommended follow up with vascular surgery for angioplasty instead of immediate stent placement.
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