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Case Reports
. 2023 Aug 14;15(8):e43491.
doi: 10.7759/cureus.43491. eCollection 2023 Aug.

May-Thurner Syndrome: An Interesting Presentation of Recurrent, Unprovoked Deep Vein Thrombosis

Bethany A Phillips-Smith  1 , Jazmin Jatana  1 , Emma Carter  1 , Sathyanarayana Machani  1 , Dean J Wickel  2
Affiliations
Case Reports

May-Thurner Syndrome: An Interesting Presentation of Recurrent, Unprovoked Deep Vein Thrombosis

Bethany A Phillips-Smith et al. Cureus. .

Abstract

May-Thurner Syndrome (MTS) is a unique condition characterized by the compression of the left iliac vein by the right common iliac artery, which causes venous outflow obstruction and a high risk of venous sequelae. May-Thurner Syndrome is a condition that is primarily observed in females and is an uncommon cause of deep vein thrombosis (DVT). The more common presentation of DVT is in the lower left extremity, although there have been cases of right-sided formation. In this case report, we present a patient with unprovoked, recurrent, left-sided deep vein thrombosis in a 70-year-old woman. The aim of this case report is to highlight this uncommon condition and to suggest consideration of MTS in the setting of a patient with recurrent unprovoked DVTs of the same extremity.

Keywords: catheter-directed thrombolysis; deep vein thrombosis (dvt); hypercoagulability; imaging to diagnose may-thurner syndrome; may-thurner's syndrome; thrombolysis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Compression of the left iliac vein by the right common iliac artery
Figure 2
Figure 2. Left iliac vein angiography prior to stenting
Figure 3
Figure 3. Left iliac vein angiography after stent deployment
See this image and copyright information in PMC

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