May-Thurner Syndrome: A Rare, Yet Recognized, Cause of Deep Vein Thrombosis

TL;DR

This case report describes a young patient with May-Thurner syndrome causing severe deep vein thrombosis and pulmonary embolism, successfully treated with surgery and stenting.

Contribution

The paper presents a rare clinical case of May-Thurner syndrome leading to DVT and PE in a young patient, highlighting successful endovascular treatment.

Findings

A 19-year-old patient with May-Thurner syndrome developed DVT and PE due to left common iliac vein compression.

Surgical thrombus removal and endovascular stenting of the left CIV led to favorable recovery and satisfactory follow-up results.

Abstract

May-Thurner syndrome (MTS) involves the chronic compression of the left common iliac vein (CIV) by the overlying right common iliac artery (CIA) against the lumbar vertebrae. This compression can result in signs and symptoms of deep vein thrombosis (DVT) affecting the left side. In this case report, we present the clinical details of a 19-year-old patient diagnosed with severe MTS, which manifested as DVT with symptoms of severe thigh pain, redness, and difficulty walking. Additionally, the patient experienced pleuritic chest pain, ultimately diagnosed as pulmonary embolism (PE). Her management involved surgical removal of the thrombus and endovascular stenting of the left CIV. Following her recovery, she progressed favorably, and her follow-up assessment yielded satisfactory results.

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