Abstract
Se presenta el caso de una paciente de 29 años, con cuadro de trombosis venosas profundas en miembros inferiores a repetición desde los 20 años sin factores de riesgo para la realización de los mismos, en quien se estudia para neoplasia cuyos estudios de extensión son negativos, trombofilias negativos, patología reumatológica con único hallazgo ANAS positivo a títulos bajos, se hace diagnóstico de enfermedad del tejido conectivo no diferenciado con manejo de anticoagulación plena, sin embargo ante la persistencia de eventos trombóticos se realiza angioTAC el cual reporta obstrucción de la vena ilíaca izquierda, por lo cual se realiza una venografía más cavografía documentándose obstrucción de la vena ilíaca externa izquierda y la común denominado síndrome de May - Thurner, anormalidad anatómica la cual desencadenó estos eventos.
Highlights
The May-Thurner syndrome is an anatomic abnormality generating venous insufficiency and recurrent thrombotic episodes of lower limbs
No risk factors were identified; extension studies for neoplasia and thrombophilia were performed with negative results, as well as studies for rheumatic disease with positive anti-nuclear antibodies (ANAs) at low titers as unique finding, being diagnosed as undifferentiated connective tissue disease and management with full anticoagulation is established
At the persistence of thrombotic events, an angio-CT which reports obstruction of the left iliac vein and the common vein is performed whereby a venography and cavography are done establishing the diagnosis of May Thurner syndrome, which should be considered within the differential diagnosis of recurrent thrombotic events. (Acta Med Colomb 2016; 41: 67-70)
Summary
The May-Thurner syndrome is an anatomic abnormality generating venous insufficiency and recurrent thrombotic episodes of lower limbs.
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