Phlegmasia Cerulea Dolens Due To May Thurner Syndrome

May-Thurner syndrome is rarely considered in the differential diagnosis of deep vein thrombosis (DVT). Patients present with a clinical picture suggestive of DVT, and the true diagnosis is not confirmed until CT venography. We present a case of a 71-year-old woman, with risk factors of hypercoagulab...

Full description

Bibliographic Details
Main Authors: Monarch Shah, Vlad Vayzband, Michelle Nabi, Sanya Chandna
Format: Article
Language:English
Published: Department of Medicine, Warren Alpert Medical School at Brown University 2022-11-01
Series:Brown Journal of Hospital Medicine
Online Access:https://bhm.scholasticahq.com/article/39659-phlegmasia-cerulea-dolens-due-to-may-thurner-syndrome
Description
Summary:May-Thurner syndrome is rarely considered in the differential diagnosis of deep vein thrombosis (DVT). Patients present with a clinical picture suggestive of DVT, and the true diagnosis is not confirmed until CT venography. We present a case of a 71-year-old woman, with risk factors of hypercoagulability, such as an anatomical variant and a 50-pack-year history, who presented with sudden onset swelling and redness of her left leg. Further investigation led to a diagnosis of May-Thurner syndrome. Our case discusses this extrinsic cause of venous stasis and how early diagnosis, and treatment can prevent the progression into Phlegmasia Cerulea Dolens.
ISSN:2831-5553