An Anomalous Cause of Deep Venous Thrombosis: A Case Report
Introduction: Lower extremity deep venous thrombosis (DVT) is a common diagnosis in the emergency department (ED). Deep venous thromboses can be the result of anatomical variation in the vasculature that predisposes the patient to thrombosis. May-Thurner syndrome (MTS) is one such anatomic variant d...
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2021-08-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/3xx9n5x1 |
| _version_ | 1818646020155768832 |
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| author | Jana Florian Huy A. Duong Jennifer S. Roh |
| author_facet | Jana Florian Huy A. Duong Jennifer S. Roh |
| author_sort | Jana Florian |
| collection | DOAJ |
| description | Introduction: Lower extremity deep venous thrombosis (DVT) is a common diagnosis in the emergency department (ED). Deep venous thromboses can be the result of anatomical variation in the vasculature that predisposes the patient to thrombosis. May-Thurner syndrome (MTS) is one such anatomic variant defined by extrinsic compression of the left common iliac vein between the right common iliac artery and lumbar vertebrae. Case Report: We report such a case of a 39-year-old woman with no risk factors for thromboembolic disease who presented to the ED with extensive unilateral leg swelling and was ultimately diagnosed with MTS. Conclusion: This diagnosis is an important consideration particularly in patients who are young, female, have scoliosis or spinal abnormalities, or are at low risk for DVT yet who present with extensive lower extremity swelling and are found to have proximal thrombus burden. Often further imaging, anticoagulation, angioplasty, or thrombectomy are indicated to prevent morbidity and post-thrombotic syndrome in these patients. |
| first_indexed | 2024-12-17T00:40:00Z |
| format | Article |
| id | doaj.art-025f367d54e34f8aa43c766c94b3289a |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-12-17T00:40:00Z |
| publishDate | 2021-08-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-025f367d54e34f8aa43c766c94b3289a2022-12-21T22:10:03ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2021-08-015310.5811/cpcem.2021.4.51517cpcem-5-299An Anomalous Cause of Deep Venous Thrombosis: A Case ReportJana Florian0Huy A. Duong1Jennifer S. Roh2University of California, Irvine, Department of Emergency Medicine, Orange, CaliforniaUniversity of California, Irvine School of Medicine, Irvine, CaliforniaUniversity of California, Irvine, Department of Emergency Medicine, Orange, CaliforniaIntroduction: Lower extremity deep venous thrombosis (DVT) is a common diagnosis in the emergency department (ED). Deep venous thromboses can be the result of anatomical variation in the vasculature that predisposes the patient to thrombosis. May-Thurner syndrome (MTS) is one such anatomic variant defined by extrinsic compression of the left common iliac vein between the right common iliac artery and lumbar vertebrae. Case Report: We report such a case of a 39-year-old woman with no risk factors for thromboembolic disease who presented to the ED with extensive unilateral leg swelling and was ultimately diagnosed with MTS. Conclusion: This diagnosis is an important consideration particularly in patients who are young, female, have scoliosis or spinal abnormalities, or are at low risk for DVT yet who present with extensive lower extremity swelling and are found to have proximal thrombus burden. Often further imaging, anticoagulation, angioplasty, or thrombectomy are indicated to prevent morbidity and post-thrombotic syndrome in these patients.https://escholarship.org/uc/item/3xx9n5x1 |
| spellingShingle | Jana Florian Huy A. Duong Jennifer S. Roh An Anomalous Cause of Deep Venous Thrombosis: A Case Report Clinical Practice and Cases in Emergency Medicine |
| title | An Anomalous Cause of Deep Venous Thrombosis: A Case Report |
| title_full | An Anomalous Cause of Deep Venous Thrombosis: A Case Report |
| title_fullStr | An Anomalous Cause of Deep Venous Thrombosis: A Case Report |
| title_full_unstemmed | An Anomalous Cause of Deep Venous Thrombosis: A Case Report |
| title_short | An Anomalous Cause of Deep Venous Thrombosis: A Case Report |
| title_sort | anomalous cause of deep venous thrombosis a case report |
| url | https://escholarship.org/uc/item/3xx9n5x1 |
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