Bilateral Iliac Vein Compression From Hugged Iliac Arteries: An Uncommon Variant of May-Thurner Syndrome
May-Thurner syndrome is a rare clinical entity with compression of the iliocaval anatomical unit by the overlying arteries against the underlying bone, resulting in venous insufficiency. Patients present with leg swelling, redness, varicosities, and deep venous thrombosis. We present a case of bilat...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2024-11-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0659 |
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| Summary: | May-Thurner syndrome is a rare clinical entity with compression of the iliocaval anatomical unit by the overlying arteries against the underlying bone, resulting in venous insufficiency. Patients present with leg swelling, redness, varicosities, and deep venous thrombosis. We present a case of bilateral May-Thurner syndrome where the patient was noted to have external compression of both iliac veins from the external and internal iliac arteries wrapped around the iliac veins, an extremely rare anatomical finding, causing more than 90% stenosis of the bilateral iliac veins. The patient had bilateral stent placement with significant improvement in symptoms and a gradual reduction in leg swelling and pain. |
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| ISSN: | 2767-7664 |