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An Unusual Case Presentation of the May–Thurner Syndrome
A 56-year-old woman underwent abdominoplasty with no immediate complications. She had no known bleeding history nor any relevant past surgical history. Adequate preventive measures for venous thromboembolism were performed, including sequential compression devices, good hydration, and early ambulati...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956848/ https://www.ncbi.nlm.nih.gov/pubmed/27482484 http://dx.doi.org/10.1097/GOX.0000000000000718 |
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author | O’Laughlin, Michael C. Levens, Benjamin J. Levens, David J. Ring, David H. |
author_facet | O’Laughlin, Michael C. Levens, Benjamin J. Levens, David J. Ring, David H. |
author_sort | O’Laughlin, Michael C. |
collection | PubMed |
description | A 56-year-old woman underwent abdominoplasty with no immediate complications. She had no known bleeding history nor any relevant past surgical history. Adequate preventive measures for venous thromboembolism were performed, including sequential compression devices, good hydration, and early ambulation. At 17 days post operation, the patient presented to the emergency room complaining of left leg swelling and sharp, shooting pain radiating down her left leg. Workup in the Emergency Room revealed significant venous thrombosis involving complete occlusion of the major veins of the left leg. There were no indications of cardiopulmonary compromise. Angiography revealed an anatomical variant consistent with May-Thurner Syndrome (MTS). This variant first described in 1957 may present in up to one-quarter of patients, more commonly in young women. This case appears to the first reported of MTS occurring in association with a postoperative complication of abdominoplasty. Diagnosis and management considerations are discussed. |
format | Online Article Text |
id | pubmed-4956848 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-49568482016-08-01 An Unusual Case Presentation of the May–Thurner Syndrome O’Laughlin, Michael C. Levens, Benjamin J. Levens, David J. Ring, David H. Plast Reconstr Surg Glob Open Case Report A 56-year-old woman underwent abdominoplasty with no immediate complications. She had no known bleeding history nor any relevant past surgical history. Adequate preventive measures for venous thromboembolism were performed, including sequential compression devices, good hydration, and early ambulation. At 17 days post operation, the patient presented to the emergency room complaining of left leg swelling and sharp, shooting pain radiating down her left leg. Workup in the Emergency Room revealed significant venous thrombosis involving complete occlusion of the major veins of the left leg. There were no indications of cardiopulmonary compromise. Angiography revealed an anatomical variant consistent with May-Thurner Syndrome (MTS). This variant first described in 1957 may present in up to one-quarter of patients, more commonly in young women. This case appears to the first reported of MTS occurring in association with a postoperative complication of abdominoplasty. Diagnosis and management considerations are discussed. Wolters Kluwer Health 2016-06-13 /pmc/articles/PMC4956848/ /pubmed/27482484 http://dx.doi.org/10.1097/GOX.0000000000000718 Text en Copyright © 2016 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. |
spellingShingle | Case Report O’Laughlin, Michael C. Levens, Benjamin J. Levens, David J. Ring, David H. An Unusual Case Presentation of the May–Thurner Syndrome |
title | An Unusual Case Presentation of the May–Thurner Syndrome |
title_full | An Unusual Case Presentation of the May–Thurner Syndrome |
title_fullStr | An Unusual Case Presentation of the May–Thurner Syndrome |
title_full_unstemmed | An Unusual Case Presentation of the May–Thurner Syndrome |
title_short | An Unusual Case Presentation of the May–Thurner Syndrome |
title_sort | unusual case presentation of the may–thurner syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956848/ https://www.ncbi.nlm.nih.gov/pubmed/27482484 http://dx.doi.org/10.1097/GOX.0000000000000718 |
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