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

Irfan Ahsan, Binish G. Qureshi, Ali Raza Ghani, Faizan Malik, Zulfiqar Arif
  • Irfan Ahsan
    Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, United States | irfanahsanrajpoot@gmail.com
  • Binish G. Qureshi
    Department of Internal Medicine, St. Luke’s Hospital, Chesterfield, MO, United States
  • Ali Raza Ghani
    Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, United States
  • Faizan Malik
    Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, United States
  • Zulfiqar Arif
    Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, United States

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.

Keywords

May-Thurner syndrome; left lower extremity deep vein thrombosis; Trellis® procedure; venous mechanical thrombectomy; left iliac vein stenting.

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Submitted: 2017-01-13 10:49:21
Published: 2017-04-06 13:37:03
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Copyright (c) 2017 Irfan Ahsan, Binish G. Qureshi, Ali Raza Ghani, Faizan Malik, Zulfiqar Arif

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