May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches. (30th April 2019)

• Record Type: Journal Article
• Authors: Jia, Lori; Alexander, Jason; Skeik, Nedaa
• Other Names: Papanas Nikolaos Academic Editor.
• Is Part Of: Case reports in vascular medicine. Volume 2019(2019)
• Publication Date: 2019-04-30
• Subjects: Peripheral vascular diseases -- Periodicals; 616.13005
• DOI: 10.1155/2019/7079307
• Languages: English
• ISSNs: 2090-6986

Abstract

Abstract : May-Thurner syndrome (MTS) is a venous outflow obstruction disorder characterized by compression of the left common iliac vein by an overriding right common iliac artery. MTS primarily affects young to middle-aged women, although many patients remain entirely asymptomatic. Anatomic variations of MTS, while uncommon, have been described. Treatment usually involves endovascular management, including thrombolysis and/or thrombectomy with or without inferior vena cava filter placement, followed by angioplasty and stenting of the left common iliac vein. We report a unique case of a 31-year-old woman who presented with MTS-related deep vein thrombosis accompanied by symptomatic abdominal and pelvic varicosities. The varicosities were treated successfully using multiple procedures, resulting in complete resolution of all symptoms. Our case discusses a treatment approach for an unusual presentation of MTS-related postthrombotic syndrome, and provides a brief literature review of MTS complications and management.