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

Autor: Umakanth, Suhas, Karnik, Swapneel Avinash, Kashyap, Alankrith Ramesh, Lakshminarayana, Badareesh
Zdroj: BMJ Case Reports; Jan2022, Vol. 15 Issue 1, p1-3, 3p
Abstrakt: 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. [ABSTRACT FROM AUTHOR]
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