Symptomatic May-Thurner Syndrome Without Deep Venous Thrombosis
iliac vein compression syndrome, cardiovascular abnormalities, peripheral vascular diseases, vascular malformations, pathologic constriction
Cardiovascular Diseases | Congenital, Hereditary, and Neonatal Diseases and Abnormalities | Emergency Medicine
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
Mcnally K S, Ganti L, Diaz V I, et al. (November 18, 2019) Symptomatic May-Thurner Syndrome Without Deep Venous Thrombosis. Cureus 11(11): e6178. doi:10.7759/cureus.6178