May-Thurner syndrome, an uncommon diagnosis for a common disease: a case report and review of the literature

May-Turner syndrome is a relatively uncommon anatomical variation in which patients develop iliofemoral deep vein thrombosis (DVT) due to venous occlusion. In this syndrome, the left common iliac vein is compressed against the fifth lumbar vertebra by the right common iliac artery. The real incidenc...

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Main Authors: Amir Masoud Jafari-Nozad, Seyyed Ali Moezi Bady, Nazanin Hanafi Bojd, Motahare Barzegar Ganji
Format: Article
Language:fas
Published: Birjand University of Medical Sciences and Health Services 2022-12-01
Series:مجله دانشگاه علوم پزشکی بیرجند
Subjects:
Online Access:http://journal.bums.ac.ir/article-1-3218-en.html
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author Amir Masoud Jafari-Nozad
Seyyed Ali Moezi Bady
Nazanin Hanafi Bojd
Motahare Barzegar Ganji
author_facet Amir Masoud Jafari-Nozad
Seyyed Ali Moezi Bady
Nazanin Hanafi Bojd
Motahare Barzegar Ganji
author_sort Amir Masoud Jafari-Nozad
collection DOAJ
description May-Turner syndrome is a relatively uncommon anatomical variation in which patients develop iliofemoral deep vein thrombosis (DVT) due to venous occlusion. In this syndrome, the left common iliac vein is compressed against the fifth lumbar vertebra by the right common iliac artery. The real incidence/prevalence of May-Turner syndrome is not precisely known, but it is estimated to be between 22 - 32% based on imaging studies. However, this syndrome is hardly ever considered in DVT diagnosis, especially in individuals with other risk factors. This venous occlusion may cause several symptoms such as leg swelling, venous thrombosis, or even more serious complications including pulmonary embolism.  The use of systemic anticoagulants alone is inefficient for the treatment of May-Turner syndrome, and more aggressive approaches are necessary to prevent clots recurrence. In this article, we described a case of a young woman suffering from pain and progressive swelling of the left lower limb without any provoking factors. With a comprehensive diagnostic approach including Doppler ultrasound and seeing a thrombus in the external iliac and left femoral veins and obstruction of the left common iliac vein in the venography images, it was determined that she has iliac vein compression syndrome. When facing unilateral venous thromboses, especially in younger age groups, the differential diagnosis should also consider May-Turner syndrome.
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spelling doaj.art-9017da5fb94642cea400bc0ea44da3312023-04-15T05:42:17ZfasBirjand University of Medical Sciences and Health Servicesمجله دانشگاه علوم پزشکی بیرجند1607-21972423-61522022-12-01293285290May-Thurner syndrome, an uncommon diagnosis for a common disease: a case report and review of the literatureAmir Masoud Jafari-Nozad0Seyyed Ali Moezi Bady1Nazanin Hanafi Bojd2Motahare Barzegar Ganji3 Student Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran Cardiovascular Diseases Research Center, Department of Cardiology, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran Cardiovascular Diseases Research Center, Department of Cardiology, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran Cardiovascular Diseases Research Center, Department of Cardiology, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran May-Turner syndrome is a relatively uncommon anatomical variation in which patients develop iliofemoral deep vein thrombosis (DVT) due to venous occlusion. In this syndrome, the left common iliac vein is compressed against the fifth lumbar vertebra by the right common iliac artery. The real incidence/prevalence of May-Turner syndrome is not precisely known, but it is estimated to be between 22 - 32% based on imaging studies. However, this syndrome is hardly ever considered in DVT diagnosis, especially in individuals with other risk factors. This venous occlusion may cause several symptoms such as leg swelling, venous thrombosis, or even more serious complications including pulmonary embolism.  The use of systemic anticoagulants alone is inefficient for the treatment of May-Turner syndrome, and more aggressive approaches are necessary to prevent clots recurrence. In this article, we described a case of a young woman suffering from pain and progressive swelling of the left lower limb without any provoking factors. With a comprehensive diagnostic approach including Doppler ultrasound and seeing a thrombus in the external iliac and left femoral veins and obstruction of the left common iliac vein in the venography images, it was determined that she has iliac vein compression syndrome. When facing unilateral venous thromboses, especially in younger age groups, the differential diagnosis should also consider May-Turner syndrome.http://journal.bums.ac.ir/article-1-3218-en.htmldeep vein thrombosislower extremitymay-turner syndrome
spellingShingle Amir Masoud Jafari-Nozad
Seyyed Ali Moezi Bady
Nazanin Hanafi Bojd
Motahare Barzegar Ganji
May-Thurner syndrome, an uncommon diagnosis for a common disease: a case report and review of the literature
مجله دانشگاه علوم پزشکی بیرجند
deep vein thrombosis
lower extremity
may-turner syndrome
title May-Thurner syndrome, an uncommon diagnosis for a common disease: a case report and review of the literature
title_full May-Thurner syndrome, an uncommon diagnosis for a common disease: a case report and review of the literature
title_fullStr May-Thurner syndrome, an uncommon diagnosis for a common disease: a case report and review of the literature
title_full_unstemmed May-Thurner syndrome, an uncommon diagnosis for a common disease: a case report and review of the literature
title_short May-Thurner syndrome, an uncommon diagnosis for a common disease: a case report and review of the literature
title_sort may thurner syndrome an uncommon diagnosis for a common disease a case report and review of the literature
topic deep vein thrombosis
lower extremity
may-turner syndrome
url http://journal.bums.ac.ir/article-1-3218-en.html
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