Objective: The purpose of this essay is to introduce the MDCT protocol and interpretation techniques for optimal evaluation of patients with suspected May-Thurner syndrome.
Conclusion: May-Thurner syndrome is always the working diagnosis when a patient presents with unilateral left lower limb swelling without signs of infection. MDCT is useful for fast, comprehensive evaluation of the vascular system to determine whether May-Thurner syndrome or an alternative condition is present.
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http://dx.doi.org/10.2214/AJR.11.8040 | DOI Listing |
Cureus
December 2024
Critical Care Medicine, NMC Specialty Hospital, Abu Dhabi, ARE.
A 50-year-old female presented with a 10-day history of progressive swelling and pain in the left lower extremity, ultimately diagnosed with deep vein thrombosis (DVT) and May-Thurner Syndrome (MTS). Initial ultrasound indicated thrombosis involving the left external iliac, femoral, and popliteal veins, among others. Blood tests revealed normocytic anemia, but thrombophilia screening and other blood markers were normal.
View Article and Find Full Text PDFSci Rep
January 2025
Department of Vascular Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, 210009, China.
To retrospectivly investigate the short-term clinical outcomes of one-stop and two-staged endovenous laser ablation (EVLA) procedures for treatment of varicose veins (VVs) and iliac vein compression syndrome (IVCS). In this study, 424 patients were treated for VVs and IVCS from June 2017 to June 2020, 91 underwent one-stop stent angioplasty (SA) and EVLA, 132 underwent two-staged SA and EVLA, 104 underwent one-stop balloon angioplasty (BA) and EVLA, and 97 underwent two-staged BA and EVLA. Clinical outcomes and complications were recorded at 3 and 12 months post-intervention.
View Article and Find Full Text PDFThis case report describes a unique presentation of May-Thurner syndrome (MTS) in a 28-year-old woman, characterized by the congenital bifurcation of the left common iliac vein (LCIV) into the outer (OLCIV) and inner (ILCIV) segments. Both veins experienced significant compression - OLCIV proximally and ILCIV medially - due to the overlying right common iliac artery (RCIA) and lumbar spine. The patient presented with bilateral spider veins, lower extremity swelling, pelvic discomfort, and bilateral leg cramping.
View Article and Find Full Text PDFJ Vasc Surg Cases Innov Tech
February 2025
Division of Cardiology, Department of Medicine, Harbor-UCLA Medical Center, Torrance, CA.
May-Thurner syndrome, also known as external iliac compression syndrome, is a rare but commonly underdiagnosed cause of asymmetric lower extremity edema. Here we describe a case of May-Thurner syndrome owing to external compression of the right and left common iliac veins presenting as chronic worsening asymmetric right greater than left lower extremity edema. Initial etiology workup was unremarkable, and further diagnostics revealed compression of the right common iliac vein at the bifurcation of the right common iliac artery between the right external and internal iliac arteries with concomitant compression of the left common iliac vein.
View Article and Find Full Text PDFCureus
November 2024
Internal Medicine, Dr. Sulaiman Al Habib Medical Group, Buraidah, SAU.
May-Thurner syndrome is a rare disorder characterized by the right common iliac artery overlies and compresses the left common iliac vein against the lumbar spine with or without iliofemoral deep venous thrombosis (DVT). The majority of cases are female and have been associated with the development of vulvar varicosities, particularly during pregnancy. Interestingly and very rarely, this condition has also been identified as a potential cause of varicoceles in males.
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