May-Thurner Syndrome Variant Identified in a Cadaver: First Reported Case

Simonds, Emily; Patel, Mayank; Vetter, Marc; Iwanaga, Joe; Oskouian, Rod J.; Tubbs, R. Shane

doi:10.7759/cureus.2396

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…At the anatomic level, MTS is characterized by compression of the left iliac vein by the right iliac artery, although variations have been reported. These include compression of the right iliac vein by the left iliac artery; compression of the inferior vena cava by the right iliac artery; and concurrent compression of the left iliac vein, right iliac vein, and inferior vena cava by the right iliac artery [11–13]. Extensive pelvic collateral venous drainage is an additional hallmark of MTS [14, 15].…”

Section: Discussionmentioning

confidence: 99%

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May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches

Jia

Alexander

Skeik

2019

Case Reports in Vascular Medicine

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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.

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Section: Discussionmentioning

confidence: 99%

“…Extensive pelvic collateral venous drainage is an additional hallmark of MTS [14, 15]. However, many patients with May-Thurner anatomy remain entirely asymptomatic and may only become symptomatic upon trauma or major surgery [2, 3, 5, 13].…”

Section: Discussionmentioning

confidence: 99%

May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches

Jia

Alexander

Skeik

2019

Case Reports in Vascular Medicine

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Atypical May-Thurner Syndrome Caused by Bone Spur of the L4~5 Lumbar Vertebrae

Nam

Hwang

2023

Clinical Pain

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May-Thurner syndrome (MTS) is a condition in which the left common iliac vein is irritated by chronic pulsatile compression between the right common iliac artery and the upper iliac or lumbar spine. It mainly causes swelling and pain in the left lower extremity, venous thrombosis, and repeated deep venous thrombosis. In patients with sudden swelling and pain in the left lower extremity and suspected lower extremity thrombosis, when no other obvious cause can be found, the possibility of MTS should be considered. We experienced a rare case of an older patient with atypical MTS caused by bone spur of the 4th and 5th lumbar vertebrae, which has been reported here along with a review of the literature.

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May-Thurner Syndrome Variant Identified in a Cadaver: First Reported Case

Cited by 2 publications

References 9 publications

May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches

May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches

Atypical May-Thurner Syndrome Caused by Bone Spur of the L4~5 Lumbar Vertebrae

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