May-Thurner Syndrome: A Rare, Yet Recognized, Cause of Deep Vein Thrombosis

May-Thurner syndrome (MTS) involves the chronic compression of the left common iliac vein (CIV) by the overlying right common iliac artery (CIA) against the lumbar vertebrae. This compression can result in signs and symptoms of deep vein thrombosis (DVT) affecting the left side. In this case report,...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-08, Vol.16 (8), p.e66357
Main Authors: Al Ghananeem, Zaid, Deshpande, Amit, Sundaresan, Vaibhav, Abuzenah, Mohammad, Abuzenah, Hamza
Format: Article
Language:English
Subjects:
Angioplasty
Anticoagulants
Asymptomatic
Blood
Case reports
Compression therapy
Contraindications
Hemoglobin
Leukocytes
Medical imaging
Patients
Thrombosis
Ultrasonic imaging
Veins & arteries
Vertebrae
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Summary:May-Thurner syndrome (MTS) involves the chronic compression of the left common iliac vein (CIV) by the overlying right common iliac artery (CIA) against the lumbar vertebrae. This compression can result in signs and symptoms of deep vein thrombosis (DVT) affecting the left side. In this case report, we present the clinical details of a 19-year-old patient diagnosed with severe MTS, which manifested as DVT with symptoms of severe thigh pain, redness, and difficulty walking. Additionally, the patient experienced pleuritic chest pain, ultimately diagnosed as pulmonary embolism (PE). Her management involved surgical removal of the thrombus and endovascular stenting of the left CIV. Following her recovery, she progressed favorably, and her follow-up assessment yielded satisfactory results.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.66357