May-Thurner syndrome; bariatric surgery; compressive syndromes; iliac vein compression syndrome; deep vein thrombosis; DVT; provoked DVT; weight loss
Hematology | Hemic and Immune Systems | Internal Medicine | Medical Anatomy
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.
Hassan, Hesham A.; Sambataro, Jan-Paul; and Abraham, James C.
"May-Thurner Compressive Syndrome Unmasked by Rapid Weight Loss,"
HCA Healthcare Journal of Medicine: Vol. 2:
3, Article 8.
Available at: https://scholarlycommons.hcahealthcare.com/hcahealthcarejournal/vol2/iss3/8