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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| Format: | Article |
| Language: | English |
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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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| author | Ratika Dogra Kylie Dickman Cody A. Buffkin Mohammed Akbani |
| author_facet | Ratika Dogra Kylie Dickman Cody A. Buffkin Mohammed Akbani |
| author_sort | Ratika Dogra |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-222d59620f93403fbc0be6648e690e55 |
| institution | DOAJ |
| issn | 2767-7664 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-222d59620f93403fbc0be6648e690e552025-08-20T03:18:46ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-11-0131110.7326/aimcc.2024.0659Bilateral Iliac Vein Compression From Hugged Iliac Arteries: An Uncommon Variant of May-Thurner SyndromeRatika Dogra0Kylie Dickman1Cody A. Buffkin2Mohammed Akbani31Department of Internal Medicine, Mercy St Vincent Hospital, Toledo, Ohio2Department of Surgery, Mercy St Vincent Hospital, Toledo, Ohio2Department of Surgery, Mercy St Vincent Hospital, Toledo, Ohio3Department of Vascular Surgery, Mercy St Vincent Hospital, Toledo, OhioMay-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.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0659 |
| spellingShingle | Ratika Dogra Kylie Dickman Cody A. Buffkin Mohammed Akbani Bilateral Iliac Vein Compression From Hugged Iliac Arteries: An Uncommon Variant of May-Thurner Syndrome Annals of Internal Medicine: Clinical Cases |
| title | Bilateral Iliac Vein Compression From Hugged Iliac Arteries: An Uncommon Variant of May-Thurner Syndrome |
| title_full | Bilateral Iliac Vein Compression From Hugged Iliac Arteries: An Uncommon Variant of May-Thurner Syndrome |
| title_fullStr | Bilateral Iliac Vein Compression From Hugged Iliac Arteries: An Uncommon Variant of May-Thurner Syndrome |
| title_full_unstemmed | Bilateral Iliac Vein Compression From Hugged Iliac Arteries: An Uncommon Variant of May-Thurner Syndrome |
| title_short | Bilateral Iliac Vein Compression From Hugged Iliac Arteries: An Uncommon Variant of May-Thurner Syndrome |
| title_sort | bilateral iliac vein compression from hugged iliac arteries an uncommon variant of may thurner syndrome |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0659 |
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