May Thurner syndrome revealed by left calf venous claudication during running, a case report

Abstract

BackgroundMay Thurner syndrome is relatively unknown to physicians, its management is well standardized and the outcomes of treatment are satisfactory in the short to medium term.Case presentationWe report the case of a patient who suffered from venous claudication during running which impaired their quality of life, decreased their athletic performance and resulted in a career change. May Thurner syndrome diagnosis was made after extensive hemodynamic analysis of a lower limb venous duplex ultrasound scan. This diagnosis was later confirmed by imaging. Subsequent endovascular care provided rapid and sustained clinical improvement.ConclusionThe main difficulties with the May Thurner syndrome are to think about it and know how to look for it; indeed the misdiagnosis time can be long. When diagnosis is made, treatment could be easy and effective.

COVID-19, long flights, and deep vein thrombosis: What we know so far

“…In Paget-Schrötter syndrome, heavy upper extremity activities can activate coagulation in the axillo-subclavian vein [ 17 ]. Rare iliofemoral DVT known as May-Thurner syndrome has been described in a runner [ 18 ]. Indeed, a report of a triathlete diagnosed with DVT upon completion of a half-ironman triathlon indicates that DVT risk factors, such as microtrauma, immobility, and dehydration may also be present in this population [ 16 ].…”

Diagnostik des akuten und chronischen Beckenvenenverschlusses

“…Even though numerous case reports and small-scale case studies have been published over the past sixty years, there are not many epidemiological data on the incidence of this 'pelvic venous spur' [24,25,26]. In addition, the clinical and prognostic relevance remains unclear at the present time [27].…”

Combined high-resolution 3D CUBE T1-weighted imaging and non-contrast-enhanced magnetic resonance venography for evaluation of vein stenosis in May–Thurner syndrome

“…Duplex ultrasound (DUS) has advantage in detecting the compression in the iliac vein by observing hemodynamic changes in supine and upright position. 10,11 But it has limitations in patients with overlying bowel gas, a thick layer of fat in the abdomen, and a deep location of iliac veins in the pelvis. 11–13 Computed tomography venography (CTV) can be considered if DUS could not adequately assess the LCIV, which also has benefits of the detection of other causes of venous compression, but the contrast limits the use of the technique in those with renal inadequacy, while the radiation does precludes its use in pregnant patients, and pregnancy is a notable risk factor for DVT formation in MTS patients (MTS is more common in females than males).…”