Abstract

May-Thurner Syndrome (MTS) or iliac vein compression syndrome is caused by compression of the left common iliac vein by the right common iliac artery. This obstruction may cause leg swelling, varicosities, deep venous thrombosis, chronic venous stasis ulcers, or more serious complications, such as pulmonary embolism. Iliac vein compression can be assessed with computed tomography (CT) and iliac venography. The goals of treatment are to reduce symptoms and to reduce the risk of complications. Stent placement is an alternative method to a direct surgical approach. We present a case of MTS, treated with stent placement.

Highlights

  • May-Thurner syndrome, known as iliac vein compression syndrome, Cockett syndrome, or iliocaval compression syndrome is caused when the left iliac vein is compressed by the right iliac artery, which increases the risk of deep vein thrombosis (DVT) in the left leg [1,2,3]

  • We present a case of May-Thurner Syndrome (MTS) with persistent painless swelling of the left thigh

  • May-Thurner syndrome is caused by compression of the left common iliac vein by the right common iliac artery

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Summary

Introduction

May-Thurner syndrome, known as iliac vein compression syndrome, Cockett syndrome, or iliocaval compression syndrome is caused when the left iliac vein is compressed by the right iliac artery, which increases the risk of deep vein thrombosis (DVT) in the left leg [1,2,3]. A history of persistent left lower extremity swelling with or without deep venous thrombosis in a woman between the 2nd and 4th decades of life, without an obvious cause, is highly suggestive of MayThurner syndrome. We present a case of MTS with persistent painless swelling of the left thigh.

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