The Hidden Threat: Chronic Urinary Retention and Thromboembolism in Underlying May–Thurner Syndrome
May–Thurner syndrome (MTS) is characterized by the formation of an intravenous scar or venous “spur” resulting from chronic pulsatile compression of the left common iliac vein (LCIV) by the right common iliac artery (RCIA) against the fourth or fifth lumbar vertebral body. This pulsatile compression...
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Wiley
2025-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/crvm/1579198 |
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| author | Tanner M. Dunn Clint A. Hayes |
| author_facet | Tanner M. Dunn Clint A. Hayes |
| author_sort | Tanner M. Dunn |
| collection | DOAJ |
| description | May–Thurner syndrome (MTS) is characterized by the formation of an intravenous scar or venous “spur” resulting from chronic pulsatile compression of the left common iliac vein (LCIV) by the right common iliac artery (RCIA) against the fourth or fifth lumbar vertebral body. This pulsatile compression creates a flow-limiting stenosis of the LCIV, leading to increased intravenous pressure in the veins draining the left lower extremity (LLE). Consequently, this elevated venous pressure manifests as a spectrum of chronic symptoms including unilateral LLE edema, pain, tenderness, warmth, skin inflammation, and discoloration, along with pelvic symptoms such as sensation of fullness and dyspareunia. Furthermore, MTS significantly elevates the risk of venous thromboembolism characterized by LCIV deep vein thrombosis (DVT) and potentially fatal pulmonary embolism (PE). Treatment options for MTS range from anticoagulant therapy to, in severe cases, operative intervention. Herein, we present a case of a 79-year-old male with MTS who experienced a near-fatal DVT that led to PE, compounded by a chronically distended urinary bladder, necessitating immediate operative removal of the PE. |
| format | Article |
| id | doaj-art-621b6be87ced4fdcbc6155afebf531fc |
| institution | DOAJ |
| issn | 2090-6994 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-621b6be87ced4fdcbc6155afebf531fc2025-08-20T03:06:20ZengWileyCase Reports in Vascular Medicine2090-69942025-01-01202510.1155/crvm/1579198The Hidden Threat: Chronic Urinary Retention and Thromboembolism in Underlying May–Thurner SyndromeTanner M. Dunn0Clint A. Hayes1Texas College of Osteopathic MedicineVascular SurgeryMay–Thurner syndrome (MTS) is characterized by the formation of an intravenous scar or venous “spur” resulting from chronic pulsatile compression of the left common iliac vein (LCIV) by the right common iliac artery (RCIA) against the fourth or fifth lumbar vertebral body. This pulsatile compression creates a flow-limiting stenosis of the LCIV, leading to increased intravenous pressure in the veins draining the left lower extremity (LLE). Consequently, this elevated venous pressure manifests as a spectrum of chronic symptoms including unilateral LLE edema, pain, tenderness, warmth, skin inflammation, and discoloration, along with pelvic symptoms such as sensation of fullness and dyspareunia. Furthermore, MTS significantly elevates the risk of venous thromboembolism characterized by LCIV deep vein thrombosis (DVT) and potentially fatal pulmonary embolism (PE). Treatment options for MTS range from anticoagulant therapy to, in severe cases, operative intervention. Herein, we present a case of a 79-year-old male with MTS who experienced a near-fatal DVT that led to PE, compounded by a chronically distended urinary bladder, necessitating immediate operative removal of the PE.http://dx.doi.org/10.1155/crvm/1579198 |
| spellingShingle | Tanner M. Dunn Clint A. Hayes The Hidden Threat: Chronic Urinary Retention and Thromboembolism in Underlying May–Thurner Syndrome Case Reports in Vascular Medicine |
| title | The Hidden Threat: Chronic Urinary Retention and Thromboembolism in Underlying May–Thurner Syndrome |
| title_full | The Hidden Threat: Chronic Urinary Retention and Thromboembolism in Underlying May–Thurner Syndrome |
| title_fullStr | The Hidden Threat: Chronic Urinary Retention and Thromboembolism in Underlying May–Thurner Syndrome |
| title_full_unstemmed | The Hidden Threat: Chronic Urinary Retention and Thromboembolism in Underlying May–Thurner Syndrome |
| title_short | The Hidden Threat: Chronic Urinary Retention and Thromboembolism in Underlying May–Thurner Syndrome |
| title_sort | hidden threat chronic urinary retention and thromboembolism in underlying may thurner syndrome |
| url | http://dx.doi.org/10.1155/crvm/1579198 |
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