An extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly: a case of May-Thurner syndrome

May-Thurner syndrome (MTS) also known as Cockett’s syndrome is a rare condition responsible for 2%-3% of all cases of deep venous thrombosis (DVT). The thrombosis results from mechanical compression of the left common iliac vein against the body of the fifth lumbar vertebra by the right common iliac...

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Main Authors: Irfan Ahsan, Binish G. Qureshi, Ali Raza Ghani, Faizan Malik, Zulfiqar Arif
Format: Article
Language:English
Published: MDPI AG 2017-04-01
Series:Clinics and Practice
Subjects:
Online Access:https://www.clinicsandpractice.org/index.php/cp/article/view/938
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author Irfan Ahsan
Binish G. Qureshi
Ali Raza Ghani
Faizan Malik
Zulfiqar Arif
author_facet Irfan Ahsan
Binish G. Qureshi
Ali Raza Ghani
Faizan Malik
Zulfiqar Arif
author_sort Irfan Ahsan
collection DOAJ
description May-Thurner syndrome (MTS) also known as Cockett’s syndrome is a rare condition responsible for 2%-3% of all cases of deep venous thrombosis (DVT). The thrombosis results from mechanical compression of the left common iliac vein against the body of the fifth lumbar vertebra by the right common iliac artery. Repetitive hyperplasia of the venous wall by compression results in spur formation that in turn causes venous flow obstruction and results in the DVT. Our case is a young female who had acute extensive proximal DVT due to MTS that was successfully managed using mechanical thrombectomy with a venous stent. MTS although a rare entity should be suspected especially in young patients with unilateral DVT with extensive clots especially on left lower extremity without any antecedent risk factors.
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spelling doaj.art-a4f6213bb0cc4486a196bd8045c1e9f22022-12-22T04:09:37ZengMDPI AGClinics and Practice2039-72752039-72832017-04-017210.4081/cp.2017.938383An extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly: a case of May-Thurner syndromeIrfan Ahsan0Binish G. Qureshi1Ali Raza Ghani2Faizan Malik3Zulfiqar Arif4Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PADepartment of Internal Medicine, St. Luke’s Hospital, Chesterfield, MODepartment of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PADepartment of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PADepartment of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PAMay-Thurner syndrome (MTS) also known as Cockett’s syndrome is a rare condition responsible for 2%-3% of all cases of deep venous thrombosis (DVT). The thrombosis results from mechanical compression of the left common iliac vein against the body of the fifth lumbar vertebra by the right common iliac artery. Repetitive hyperplasia of the venous wall by compression results in spur formation that in turn causes venous flow obstruction and results in the DVT. Our case is a young female who had acute extensive proximal DVT due to MTS that was successfully managed using mechanical thrombectomy with a venous stent. MTS although a rare entity should be suspected especially in young patients with unilateral DVT with extensive clots especially on left lower extremity without any antecedent risk factors.https://www.clinicsandpractice.org/index.php/cp/article/view/938May-Thurner syndromeleft lower extremity deep vein thrombosisTrellis® procedurevenous mechanical thrombectomyleft iliac vein stenting.
spellingShingle Irfan Ahsan
Binish G. Qureshi
Ali Raza Ghani
Faizan Malik
Zulfiqar Arif
An extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly: a case of May-Thurner syndrome
Clinics and Practice
May-Thurner syndrome
left lower extremity deep vein thrombosis
Trellis® procedure
venous mechanical thrombectomy
left iliac vein stenting.
title An extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly: a case of May-Thurner syndrome
title_full An extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly: a case of May-Thurner syndrome
title_fullStr An extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly: a case of May-Thurner syndrome
title_full_unstemmed An extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly: a case of May-Thurner syndrome
title_short An extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly: a case of May-Thurner syndrome
title_sort extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly a case of may thurner syndrome
topic May-Thurner syndrome
left lower extremity deep vein thrombosis
Trellis® procedure
venous mechanical thrombectomy
left iliac vein stenting.
url https://www.clinicsandpractice.org/index.php/cp/article/view/938
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