Pulmonary embolism in an adolescent with May-Thurner syndrome and Factor V Leiden mutation requiring IVC filter placement and mechanical/pharmacologic thrombolysis
May-Thurner syndrome is an uncommon cause of lower extremity deep venous thrombi caused by compression of the left iliac vein in between the right iliac artery and the vertebrae that results in venous insufficiency. This case report describes an adolescent male with significant lower extremity deep...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Pediatric Hematology Oncology Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468124522002467 |
| _version_ | 1828084832720125952 |
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| author | Thomas M. O'Gorman Rukhmi V. Bhat Shankar Rajeswaran Sherif M. Badawy |
| author_facet | Thomas M. O'Gorman Rukhmi V. Bhat Shankar Rajeswaran Sherif M. Badawy |
| author_sort | Thomas M. O'Gorman |
| collection | DOAJ |
| description | May-Thurner syndrome is an uncommon cause of lower extremity deep venous thrombi caused by compression of the left iliac vein in between the right iliac artery and the vertebrae that results in venous insufficiency. This case report describes an adolescent male with significant lower extremity deep venous thrombi (DVTs) consistent with May-Thurner syndrome. His hospital course was complicated by pulmonary emboli, repeat procedures and stent placement, and recurrence of thrombi after discharge. This case report highlights the importance of recognizing May-Thurner syndrome as an uncommon cause of lower-extremity DVT, and close observation and prompt management of patients with DVTs. |
| first_indexed | 2024-04-11T04:31:36Z |
| format | Article |
| id | doaj.art-8daa8361f9a14514bf9d9f0028a98c20 |
| institution | Directory Open Access Journal |
| issn | 2468-1245 |
| language | English |
| last_indexed | 2024-04-11T04:31:36Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatric Hematology Oncology Journal |
| spelling | doaj.art-8daa8361f9a14514bf9d9f0028a98c202022-12-29T04:13:43ZengElsevierPediatric Hematology Oncology Journal2468-12452022-12-0174116118Pulmonary embolism in an adolescent with May-Thurner syndrome and Factor V Leiden mutation requiring IVC filter placement and mechanical/pharmacologic thrombolysisThomas M. O'Gorman0Rukhmi V. Bhat1Shankar Rajeswaran2Sherif M. Badawy3Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Box #15, Chicago, IL, 60611, USA; Corresponding author. 225 E Chicago Ave, Box 15, Chicago, IL 60611, USA.Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Box #15, Chicago, IL, 60611, USA; Division of Hematology, Oncology, And Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Box #30 Chicago, Illinois, 60611, USADepartment of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Box #15, Chicago, IL, 60611, USA; Division of Interventional Radiology, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave. Box #40, Chicago, IL, 60611, USADepartment of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Box #15, Chicago, IL, 60611, USA; Division of Hematology, Oncology, And Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Box #30 Chicago, Illinois, 60611, USAMay-Thurner syndrome is an uncommon cause of lower extremity deep venous thrombi caused by compression of the left iliac vein in between the right iliac artery and the vertebrae that results in venous insufficiency. This case report describes an adolescent male with significant lower extremity deep venous thrombi (DVTs) consistent with May-Thurner syndrome. His hospital course was complicated by pulmonary emboli, repeat procedures and stent placement, and recurrence of thrombi after discharge. This case report highlights the importance of recognizing May-Thurner syndrome as an uncommon cause of lower-extremity DVT, and close observation and prompt management of patients with DVTs.http://www.sciencedirect.com/science/article/pii/S2468124522002467Pediatric May-Thurner syndromePulmonary embolismIliocaval stentIVC filter |
| spellingShingle | Thomas M. O'Gorman Rukhmi V. Bhat Shankar Rajeswaran Sherif M. Badawy Pulmonary embolism in an adolescent with May-Thurner syndrome and Factor V Leiden mutation requiring IVC filter placement and mechanical/pharmacologic thrombolysis Pediatric Hematology Oncology Journal Pediatric May-Thurner syndrome Pulmonary embolism Iliocaval stent IVC filter |
| title | Pulmonary embolism in an adolescent with May-Thurner syndrome and Factor V Leiden mutation requiring IVC filter placement and mechanical/pharmacologic thrombolysis |
| title_full | Pulmonary embolism in an adolescent with May-Thurner syndrome and Factor V Leiden mutation requiring IVC filter placement and mechanical/pharmacologic thrombolysis |
| title_fullStr | Pulmonary embolism in an adolescent with May-Thurner syndrome and Factor V Leiden mutation requiring IVC filter placement and mechanical/pharmacologic thrombolysis |
| title_full_unstemmed | Pulmonary embolism in an adolescent with May-Thurner syndrome and Factor V Leiden mutation requiring IVC filter placement and mechanical/pharmacologic thrombolysis |
| title_short | Pulmonary embolism in an adolescent with May-Thurner syndrome and Factor V Leiden mutation requiring IVC filter placement and mechanical/pharmacologic thrombolysis |
| title_sort | pulmonary embolism in an adolescent with may thurner syndrome and factor v leiden mutation requiring ivc filter placement and mechanical pharmacologic thrombolysis |
| topic | Pediatric May-Thurner syndrome Pulmonary embolism Iliocaval stent IVC filter |
| url | http://www.sciencedirect.com/science/article/pii/S2468124522002467 |
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