血管医学および外科ジャーナル

概要

May Thurner Syndrome: An Important Differential Diagnosis for DVT

Galang LD* and Tulsidas H

May Thurner Syndrome (MTS) is an anatomical variant in which the left common iliac vein is compressed against the fifth lumbar vertebra by the right common iliac artery resulting in lower extremity venous outflow obstruction. It is estimated to be present in about 20% of the population and predominantly seen in young females. It can present as acute or chronic DVT with symptoms of unilateral leg pain, edema, and / or varicosities. MTS related deep venous thrombosis (DVT) accounts for 2%-3% of all lower limb DVTs. In addition to standard anticoagulation, endovascular thrombolysis with angioplasty and stent placement is recommended as part of treatment.We present a case of a 43 year old female who presented with an unprovoked left DVT and diagnosis of MTS was made on CT scan.