May-Thurner syndrome: an unusual cause of unprovoked deep vein thrombosis of the left lower limb

Suhas Umakanth, Swapneel Avinash Karnik, Alankrith Ramesh Kashyap, Badareesh Lakshminarayana

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Article numbere244103
JournalBMJ Case Reports
Volume15
Issue number1
DOIs
Publication statusPublished - 20-01-2022

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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