Related Experiment Video
Updated: Jan 22, 2026
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Recurrent unilateral cellulitis: is it May-Thurner syndrome (MTS)?
1Department of Vascular Surgery, Cairns Hospital, Cairns North, Queensland, Australia.
Insights
May-Thurner syndrome (MTS) is a rare condition causing leg swelling. Early diagnosis of MTS is crucial for successful treatment of recurrent cellulitis and chronic limb edema.
Area of Science:
- Vascular Surgery
- Radiology
- Internal Medicine
Background:
- May-Thurner syndrome (MTS) is a vascular compression disorder.
- It often presents with symptoms mimicking other conditions like recurrent cellulitis.
Observation:
- A 73-year-old woman experienced recurrent left lower limb cellulitis.
- Imaging revealed a stenosed left common iliac vein (CIV) due to right common iliac artery compression, indicative of MTS.
Findings:
- The patient's chronic condition complicated attempts at venous recanalization.
- MTS diagnosis was confirmed via CT scan showing left CIV stenosis.
Implications:
- MTS should be considered in patients with chronic unilateral limb swelling or cellulitis.
- Early detection of MTS is key for effective treatment and management of associated venous complications.
Abstract:
May-Thurner syndrome (MTS) is a differential diagnosis to be considered in a patient with recurrent unilateral cellulitis. A 73-year-old woman initially presented with recurrent unilateral cellulitis of her left lower limb. A CT scan demonstrated a stenosed left common iliac vein (CIV) narrowed at its origin by the proximal right common iliac artery consistent with MTS. The chronicity of the condition at the time of diagnosis made attempts to recanalise the CIV unsuccessful. A diagnosis of MTS should be considered in a patient with chronic unilateral limb oedema/cellulitis as it represents a potentially treatable condition if detected early.
Related Concept Videos
01:24Nephrotic Syndrome I : Introduction
01:30Acute Coronary Syndrome I: Introduction
01:17Irritable Bowel Syndrome I: Introduction
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
01:26Acute Coronary Syndrome V: Nursing Management
01:26Nephrotic Syndrome II : Assessment and Medical Management
01:24Nephrotic Syndrome III : Nursing Management