Title

Symptomatic May-Thurner Syndrome Without Deep Venous Thrombosis

Division

North Florida

Hospital

Osceola

Document Type

Case Report

Publication Date

11-18-2019

Keywords

iliac vein compression syndrome, cardiovascular abnormalities, peripheral vascular diseases, vascular malformations, pathologic constriction

Disciplines

Cardiovascular Diseases | Congenital, Hereditary, and Neonatal Diseases and Abnormalities | Emergency Medicine

Abstract

The authors present a case of symptomatic May-Thurner syndrome in the absence of a deep venous thrombosis. This is an unusual case, as most cases are diagnosed with a deep venous thrombosis as the underlying finding. The clinical presentation and suggested diagnostic workup are discussed. A key point is the need to consider this frequently under-diagnosed condition. Optimal management is often with a stent, but if not diagnosed, the patient can develop unnecessary clot burden, be placed on lifelong anticoagulation, or both.

Publisher or Conference

Cureus

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