Medical image of the week: May-Thurner syndrome

• Published in: Southwest journal of pulmonary & critical care Vol. 9; no. 1; pp. 25 - 26
• Main Authors: Krishnan, Sathish, Parikh, Malav, Dandachi, Dima
• Format: Journal Article
• Language: English
• Published: Arizona Thoracic Society 03.07.2014
• Subjects: deep venous thrombosis; left iliac vein compression; left leg; May-Thurner Syndrome; mechanical compression; right iliac artery; thrombosis; venous thrombosis
• ISSN: 2160-6773; 2160-6773
• DOI: 10.13175/swjpcc066-14

No abstract available. Article truncated at 150 words. A 20-year-old Caucasian female presented with 7-day history of pain and swelling of the left lower extremity. She had no significant past medical history. Her only medication at the time of presentation was oral contraceptive pills. She denied smoking cigarettes. She denied shortness of breath, recent travel, surgery or miscarriage. She did not have any family history of clotting problems. She was hemodynamically stable. Physical examination was significant for swelling of the left lower extremity up to mid-thigh level. Duplex ultrasonography of the extremity showed extensive thrombosis of the left ilio-femoral, common femoral and popliteal veins. A retrievable inferior vena cava filter was placed. Subsequently, she underwent catheter directed thrombolysis and percutaneous mechanical thrombectomy. Venogram, after the procedure showed resolution of most of the clot burden. It also revealed a band-like stenosis at the location where the right iliac artery is expected to cross the left iliac vein, consistent with ...