TY - JOUR
T1 - May-Thurner syndrome
T2 - an unusual cause of unprovoked deep vein thrombosis of the left lower limb
AU - Umakanth, Suhas
AU - Karnik, Swapneel Avinash
AU - Kashyap, Alankrith Ramesh
AU - Lakshminarayana, Badareesh
N1 - © BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2022/1/20
Y1 - 2022/1/20
N2 - May-Thurner syndrome, an unprovoked form of deep vein thrombosis (DVT), should be kept in mind in case of DVT with no predisposing factors. We present a case of a 37-year-old male with DVT of left lower limb due to May-Thurner syndrome, treated with anticoagulants with a plan of left common iliac vein (LCIV) stenting and inferior vena cava (IVC) filter later. Venous duplex scan showed features suggestive of May-Thurner syndrome. Hence, we proceeded for CT abdominal aortogram with bilateral lower limb angiogram, which confirmed the above findings. Management of May-Thurner syndrome is a stepwise approach, with initial anticoagulation for dissolution of the thrombus followed by endovenous stenting of the LCIV and concomitant IVC filter.
AB - May-Thurner syndrome, an unprovoked form of deep vein thrombosis (DVT), should be kept in mind in case of DVT with no predisposing factors. We present a case of a 37-year-old male with DVT of left lower limb due to May-Thurner syndrome, treated with anticoagulants with a plan of left common iliac vein (LCIV) stenting and inferior vena cava (IVC) filter later. Venous duplex scan showed features suggestive of May-Thurner syndrome. Hence, we proceeded for CT abdominal aortogram with bilateral lower limb angiogram, which confirmed the above findings. Management of May-Thurner syndrome is a stepwise approach, with initial anticoagulation for dissolution of the thrombus followed by endovenous stenting of the LCIV and concomitant IVC filter.
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U2 - 10.1136/bcr-2021-244103
DO - 10.1136/bcr-2021-244103
M3 - Article
C2 - 35058283
AN - SCOPUS:85123654319
SN - 1757-790X
VL - 15
JO - BMJ Case Reports
JF - BMJ Case Reports
IS - 1
M1 - e244103
ER -