A 20-year-old woman with pulmonary embolism and deep vein thrombosis associated with May-Thurner syndrome
May-Thurner syndrome (MTS) is a clinical condition characterized by the compression of the left common iliac vein between the overlying right common iliac artery and the underlying lumbar vertebrae. Although MTS can lead to deep vein thrombosis (DVT) and, in some cases, pulmonary embolism (PE), it r...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-09-01
|
| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325004418 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849319584928104448 |
|---|---|
| author | Yusuke Yamazaki, MD Hidehiko Ikura, MD Toru Egashira, MD, PhD Toshimi Kageyama, MD Masaru Shibata, MD Kazunori Moritani, MD, PhD Hideo Mitamura, MD, PhD |
| author_facet | Yusuke Yamazaki, MD Hidehiko Ikura, MD Toru Egashira, MD, PhD Toshimi Kageyama, MD Masaru Shibata, MD Kazunori Moritani, MD, PhD Hideo Mitamura, MD, PhD |
| author_sort | Yusuke Yamazaki, MD |
| collection | DOAJ |
| description | May-Thurner syndrome (MTS) is a clinical condition characterized by the compression of the left common iliac vein between the overlying right common iliac artery and the underlying lumbar vertebrae. Although MTS can lead to deep vein thrombosis (DVT) and, in some cases, pulmonary embolism (PE), it remains underrecognized in clinical practice. We present a case of PE and DVT associated with MTS in a 20-year-old woman with a prolonged history of taking oral contraceptives (OCs). Initial computed tomography angiography (CTA) raised suspicion of MTS, which was further confirmed by Duplex ultrasonography. Anticoagulation therapy, along with discontinuation of OCs, resulted in resolution of thrombi in both the pulmonary and deep venous systems, with no recurrence following cessation of anticoagulation. This case underscores the importance of combining multiple imaging modalities in the evaluation of young women presenting with left-sided DVT, which eventually led to the diagnosis and proper management of MTS. |
| format | Article |
| id | doaj-art-fa2c8120c5fd41209fec5da8bfce88bc |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-fa2c8120c5fd41209fec5da8bfce88bc2025-08-20T03:50:22ZengElsevierRadiology Case Reports1930-04332025-09-012094203420810.1016/j.radcr.2025.05.008A 20-year-old woman with pulmonary embolism and deep vein thrombosis associated with May-Thurner syndromeYusuke Yamazaki, MD0Hidehiko Ikura, MD1Toru Egashira, MD, PhD2Toshimi Kageyama, MD3Masaru Shibata, MD4Kazunori Moritani, MD, PhD5Hideo Mitamura, MD, PhD6Correspondence author.; Department of Cardiology, Tachikawa Hospital, Tokyo, JapanDepartment of Cardiology, Tachikawa Hospital, Tokyo, JapanDepartment of Cardiology, Tachikawa Hospital, Tokyo, JapanDepartment of Cardiology, Tachikawa Hospital, Tokyo, JapanDepartment of Cardiology, Tachikawa Hospital, Tokyo, JapanDepartment of Cardiology, Tachikawa Hospital, Tokyo, JapanDepartment of Cardiology, Tachikawa Hospital, Tokyo, JapanMay-Thurner syndrome (MTS) is a clinical condition characterized by the compression of the left common iliac vein between the overlying right common iliac artery and the underlying lumbar vertebrae. Although MTS can lead to deep vein thrombosis (DVT) and, in some cases, pulmonary embolism (PE), it remains underrecognized in clinical practice. We present a case of PE and DVT associated with MTS in a 20-year-old woman with a prolonged history of taking oral contraceptives (OCs). Initial computed tomography angiography (CTA) raised suspicion of MTS, which was further confirmed by Duplex ultrasonography. Anticoagulation therapy, along with discontinuation of OCs, resulted in resolution of thrombi in both the pulmonary and deep venous systems, with no recurrence following cessation of anticoagulation. This case underscores the importance of combining multiple imaging modalities in the evaluation of young women presenting with left-sided DVT, which eventually led to the diagnosis and proper management of MTS.http://www.sciencedirect.com/science/article/pii/S1930043325004418May-Thurner syndromeIliac vein compression syndromeDeep vein thrombosisPulmonary embolismWomanComputed tomography angiography |
| spellingShingle | Yusuke Yamazaki, MD Hidehiko Ikura, MD Toru Egashira, MD, PhD Toshimi Kageyama, MD Masaru Shibata, MD Kazunori Moritani, MD, PhD Hideo Mitamura, MD, PhD A 20-year-old woman with pulmonary embolism and deep vein thrombosis associated with May-Thurner syndrome Radiology Case Reports May-Thurner syndrome Iliac vein compression syndrome Deep vein thrombosis Pulmonary embolism Woman Computed tomography angiography |
| title | A 20-year-old woman with pulmonary embolism and deep vein thrombosis associated with May-Thurner syndrome |
| title_full | A 20-year-old woman with pulmonary embolism and deep vein thrombosis associated with May-Thurner syndrome |
| title_fullStr | A 20-year-old woman with pulmonary embolism and deep vein thrombosis associated with May-Thurner syndrome |
| title_full_unstemmed | A 20-year-old woman with pulmonary embolism and deep vein thrombosis associated with May-Thurner syndrome |
| title_short | A 20-year-old woman with pulmonary embolism and deep vein thrombosis associated with May-Thurner syndrome |
| title_sort | 20 year old woman with pulmonary embolism and deep vein thrombosis associated with may thurner syndrome |
| topic | May-Thurner syndrome Iliac vein compression syndrome Deep vein thrombosis Pulmonary embolism Woman Computed tomography angiography |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325004418 |
| work_keys_str_mv | AT yusukeyamazakimd a20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT hidehikoikuramd a20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT toruegashiramdphd a20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT toshimikageyamamd a20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT masarushibatamd a20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT kazunorimoritanimdphd a20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT hideomitamuramdphd a20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT yusukeyamazakimd 20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT hidehikoikuramd 20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT toruegashiramdphd 20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT toshimikageyamamd 20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT masarushibatamd 20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT kazunorimoritanimdphd 20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome AT hideomitamuramdphd 20yearoldwomanwithpulmonaryembolismanddeepveinthrombosisassociatedwithmaythurnersyndrome |