An extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly: a case of May-Thurner syndrome

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Irfan Ahsan(1*), Binish G. Qureshi(2), Ali Raza Ghani(3), Faizan Malik(4), Zulfiqar Arif(5)

1 Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, United States.
2 Department of Internal Medicine, St. Luke’s Hospital, Chesterfield, MO, United States.
3 Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, United States.
4 Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, United States.
5 Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, United States.
(*) Corresponding Author:
Irfan Ahsan
irfanahsanrajpoot@gmail.com

Abstract

May-Thurner syndrome (MTS) also known as Cockett’s syndrome is a rare condition responsible for 2%-3% of all cases of deep venous thrombosis (DVT). The thrombosis results from mechanical compression of the left common iliac vein against the body of the fifth lumbar vertebra by the right common iliac artery. Repetitive hyperplasia of the venous wall by compression results in spur formation that in turn causes venous flow obstruction and results in the DVT. Our case is a young female who had acute extensive proximal DVT due to MTS that was successfully managed using mechanical thrombectomy with a venous stent. MTS although a rare entity should be suspected especially in young patients with unilateral DVT with extensive clots especially on left lower extremity without any antecedent risk factors.

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How to Cite
Ahsan, I., Qureshi, B. G., Ghani, A. R., Malik, F., & Arif, Z. (2017). An extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly: a case of May-Thurner syndrome. Clinics and Practice, 7(2). https://doi.org/10.4081/cp.2017.938
Author Biographies

Irfan Ahsan, Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA

Resident Trainee Internal Medicine

Binish G. Qureshi, Department of Internal Medicine, St. Luke’s Hospital, Chesterfield, MO

Resident Trainee Internal Medicine

Ali Raza Ghani, Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA

Resident Trainee Internal Medicine

Faizan Malik, Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA

Attending Physician Internal Medicine

Zulfiqar Arif, Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA

Attending Physician Internal Medicine