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Speranza G, Hager E. Venous thromboembolism in a patient with an uncommon etiology of May-Thurner syndrome. J Vasc Surg Cases Innov Tech. 2021;7(3):549-552doi: 10.1016/j.jvscit.2021.07.003.
Speranza, G., & Hager, E. (2021). Venous thromboembolism in a patient with an uncommon etiology of May-Thurner syndrome. Journal of vascular surgery cases and innovative techniques, 7(3), 549-552. https://doi.org/10.1016/j.jvscit.2021.07.003
Speranza, Giancarlo, and Hager, Eric. "Venous thromboembolism in a patient with an uncommon etiology of May-Thurner syndrome." Journal of vascular surgery cases and innovative techniques vol. 7,3 (2021): 549-552. doi: https://doi.org/10.1016/j.jvscit.2021.07.003
Speranza G, Hager E. Venous thromboembolism in a patient with an uncommon etiology of May-Thurner syndrome. J Vasc Surg Cases Innov Tech. 2021 Jul 21;7(3):549-552. doi: 10.1016/j.jvscit.2021.07.003. eCollection 2021 Sep. PMID: 34401623; PMCID: PMC8358287.
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J Vasc Surg Cases Innov Tech. 2021 Jul 21;7(3):549-552. doi: 10.1016/j.jvscit.2021.07.003. eCollection 2021 Sep.

Venous thromboembolism in a patient with an uncommon etiology of May-Thurner syndrome.

Journal of vascular surgery cases and innovative techniques

Giancarlo Speranza, Eric Hager

Affiliations

  1. New York University Grossman School of Medicine, New York, NY.
  2. Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.

PMID: 34401623 PMCID: PMC8358287 DOI: 10.1016/j.jvscit.2021.07.003

Abstract

May-Thurner syndrome (MTS) consists of common iliac vein compression from an extrinsic source. Patients with MTS can present with a variety of symptoms, potentially making the diagnosis difficult. Classically, MTS will result in left iliac vein compression from the right iliac artery. In rare cases, it can be secondarily caused by compression from other anatomic structures in the pelvis. We present the case of a 43-year-old woman with MTS with iliofemoral deep vein thrombosis and pulmonary embolism caused by a large uterine leiomyoma. Our findings underscore the need to consider various etiologies of venous compression in patients with extensive unilateral venous thromboembolism.

© 2021 The Authors.

Keywords: May-Thurner syndrome; Uterine leiomyoma; Venous thromboembolism

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