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Case Reports
. 2021 Oct 22;7(4):768-771.
doi: 10.1016/j.jvscit.2021.10.005. eCollection 2021 Dec.

Unusual presentation of right-sided May-Thurner syndrome

Abdullah Nasif  1 , Amin Mohamed Ahmed  1 , Somya Al-Embideen  1 , Munier Nazzal  1 , Mohamed Osman  1 , Ayman Ahmed  1
Affiliations
Case Reports

Unusual presentation of right-sided May-Thurner syndrome

Abdullah Nasif et al. J Vasc Surg Cases Innov Tech. .

Abstract

May-Thurner syndrome commonly presents with left leg swelling. Right-sided venous compression syndromes are rare. We report a 49-year-old gentleman who presented with right lower extremity swelling after leg trauma. He was found to have right distal common iliac vein compression by the overlying right internal iliac artery. He was treated with an endovascular approach with balloon venoplasty and stenting. This is a unique presentation of May-Thurner syndrome variation affecting the right lower extremity with limited description in the literature.

Keywords: May-Thurner syndrome; Right-sided.

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Figures

Fig 1
Fig 1
Computed tomography (CT) scan demonstrating the right common iliac vein compression.
Fig 2
Fig 2
(A) Initial venogram showing stenosis of the right common iliac vein. (B) Completion venogram showing the patent right common iliac vein.
Fig 3
Fig 3
Intravascular ultrasound (IVUS) images: (A) preintervention compressed lumen of the right common iliac vein; (B) totally compressed distal right common iliac proximal external iliac veins; (C) normal caliber of the right external iliac vein; (D) poststenting of the iliac vein. R EIA, Right external iliac artery; R IIA, right internal iliac artery.
See this image and copyright information in PMC

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