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 MTS IMAGES.docx (539 kB)
Hassan MTS IMAGES.docx