Case report: may-Thurner syndrome: early diagnosis and intervention in a young healthy woman

TL;DR

A 37-year-old woman with no prior health issues was diagnosed with May-Thurner Syndrome after experiencing leg swelling and pain, and successfully treated with anticoagulation and stenting.

Contribution

This case report highlights the rare occurrence of May-Thurner Syndrome in a young, healthy woman without traditional clotting risk factors.

Findings

The patient's DVT was successfully treated with Heparin, mechanical thrombectomy, and stenting.

Symptoms improved rapidly, and she was discharged on Apixaban and Plavix.

This case expands understanding of MTS presentation in younger, healthy individuals.

Abstract

May-Thurner Syndrome (MTS) is caused by left common iliac vein compression, resulting in deep vein thrombosis (DVT). MTS is usually asymptomatic until DVT occurs. Our case features a 37-year-old woman who presented with swelling and pain in her left leg after recent travel and oral contraceptive use. Venous duplex ultrasound confirmed DVT and CT angiogram excluded pulmonary embolism. She received Heparin anticoagulation and underwent mechanical thrombectomy and stenting. Her symptoms improved within two days, and she was discharged on Apixaban and Plavix. This case involves a unique patient presentation of MTS, involving young woman with unexplained left-sided DVT, a scenario typically seen in older patients with clotting disorders.

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