A rare case of May-Thurner syndrome due to external compression of the right and left common iliac veins
May-Thurner syndrome, also known as external iliac compression syndrome, is a rare but commonly underdiagnosed cause of asymmetric lower extremity edema. Here we describe a case of May-Thurner syndrome owing to external compression of the right and left common iliac veins presenting as chronic worse...
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Elsevier
2025-02-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002429 |
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| author | Logan Schwarzman, MD Jack Aguilar, MD Nichelle Megowan, MD |
| author_facet | Logan Schwarzman, MD Jack Aguilar, MD Nichelle Megowan, MD |
| author_sort | Logan Schwarzman, MD |
| collection | DOAJ |
| description | May-Thurner syndrome, also known as external iliac compression syndrome, is a rare but commonly underdiagnosed cause of asymmetric lower extremity edema. Here we describe a case of May-Thurner syndrome owing to external compression of the right and left common iliac veins presenting as chronic worsening asymmetric right greater than left lower extremity edema. Initial etiology workup was unremarkable, and further diagnostics revealed compression of the right common iliac vein at the bifurcation of the right common iliac artery between the right external and internal iliac arteries with concomitant compression of the left common iliac vein. Stenting of the right common iliac vein was completed, with significant symptomatic improvement at 30-day follow-up. This case documents a unique variant of May-Thurner syndrome rarely described in the literature. |
| format | Article |
| id | doaj-art-4e7b73b44856434ea6d926c13b3fadfc |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-4e7b73b44856434ea6d926c13b3fadfc2025-01-20T04:17:42ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101658A rare case of May-Thurner syndrome due to external compression of the right and left common iliac veinsLogan Schwarzman, MD0Jack Aguilar, MD1Nichelle Megowan, MD2Division of Cardiology, Department of Medicine, Harbor-UCLA Medical Center, Torrance, CA; Correspondence: Logan Schwarzman, MD, Harbor-UCLA Medical Center, 1000 West Carson St, Torrance, CA 90502Division of Cardiology, Department of Medicine, Harbor-UCLA Medical Center, Torrance, CADivision of Cardiology, Department of Medicine, Harbor-UCLA Medical Center, Torrance, CAMay-Thurner syndrome, also known as external iliac compression syndrome, is a rare but commonly underdiagnosed cause of asymmetric lower extremity edema. Here we describe a case of May-Thurner syndrome owing to external compression of the right and left common iliac veins presenting as chronic worsening asymmetric right greater than left lower extremity edema. Initial etiology workup was unremarkable, and further diagnostics revealed compression of the right common iliac vein at the bifurcation of the right common iliac artery between the right external and internal iliac arteries with concomitant compression of the left common iliac vein. Stenting of the right common iliac vein was completed, with significant symptomatic improvement at 30-day follow-up. This case documents a unique variant of May-Thurner syndrome rarely described in the literature.http://www.sciencedirect.com/science/article/pii/S2468428724002429May-Thurner syndromeUnilateral edemaIliac vein compression |
| spellingShingle | Logan Schwarzman, MD Jack Aguilar, MD Nichelle Megowan, MD A rare case of May-Thurner syndrome due to external compression of the right and left common iliac veins Journal of Vascular Surgery Cases and Innovative Techniques May-Thurner syndrome Unilateral edema Iliac vein compression |
| title | A rare case of May-Thurner syndrome due to external compression of the right and left common iliac veins |
| title_full | A rare case of May-Thurner syndrome due to external compression of the right and left common iliac veins |
| title_fullStr | A rare case of May-Thurner syndrome due to external compression of the right and left common iliac veins |
| title_full_unstemmed | A rare case of May-Thurner syndrome due to external compression of the right and left common iliac veins |
| title_short | A rare case of May-Thurner syndrome due to external compression of the right and left common iliac veins |
| title_sort | rare case of may thurner syndrome due to external compression of the right and left common iliac veins |
| topic | May-Thurner syndrome Unilateral edema Iliac vein compression |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002429 |
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