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

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...

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Detalles Bibliográficos
Autores principales: Jia, Lori, Alexander, Jason, Skeik, Nedaa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6515053/
https://www.ncbi.nlm.nih.gov/pubmed/31183243
http://dx.doi.org/10.1155/2019/7079307
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author Jia, Lori
Alexander, Jason
Skeik, Nedaa
author_facet Jia, Lori
Alexander, Jason
Skeik, Nedaa
author_sort Jia, Lori
collection PubMed
description 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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spelling pubmed-65150532019-06-10 May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches Jia, Lori Alexander, Jason Skeik, Nedaa Case Rep Vasc Med Case Report 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. Hindawi 2019-04-30 /pmc/articles/PMC6515053/ /pubmed/31183243 http://dx.doi.org/10.1155/2019/7079307 Text en Copyright © 2019 Lori Jia et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jia, Lori
Alexander, Jason
Skeik, Nedaa
May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches
title May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches
title_full May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches
title_fullStr May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches
title_full_unstemmed May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches
title_short May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches
title_sort may-thurner syndrome with large abdominal varicosity, treated successfully using multiple approaches
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6515053/
https://www.ncbi.nlm.nih.gov/pubmed/31183243
http://dx.doi.org/10.1155/2019/7079307
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