An extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly: a case of May-Thurner syndrome

  • Irfan Ahsan | irfanahsanrajpoot@gmail.com Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, United States.
  • Binish G. Qureshi Department of Internal Medicine, St. Luke’s Hospital, Chesterfield, MO, United States.
  • Ali Raza Ghani Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, United States.
  • Faizan Malik Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, United States.
  • Zulfiqar Arif Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, United States.

Abstract

May-Thurner syndrome (MTS) also known as Cockett’s syndrome is a rare condition responsible for 2%-3% of all cases of deep venous thrombosis (DVT). The thrombosis results from mechanical compression of the left common iliac vein against the body of the fifth lumbar vertebra by the right common iliac artery. Repetitive hyperplasia of the venous wall by compression results in spur formation that in turn causes venous flow obstruction and results in the DVT. Our case is a young female who had acute extensive proximal DVT due to MTS that was successfully managed using mechanical thrombectomy with a venous stent. MTS although a rare entity should be suspected especially in young patients with unilateral DVT with extensive clots especially on left lower extremity without any antecedent risk factors.

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Author Biographies

Irfan Ahsan, Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA
Resident Trainee Internal Medicine
Binish G. Qureshi, Department of Internal Medicine, St. Luke’s Hospital, Chesterfield, MO
Resident Trainee Internal Medicine
Ali Raza Ghani, Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA
Resident Trainee Internal Medicine
Faizan Malik, Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA
Attending Physician Internal Medicine
Zulfiqar Arif, Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA
Attending Physician Internal Medicine
Published
2017-04-06
Section
Case Reports
Keywords:
May-Thurner syndrome, left lower extremity deep vein thrombosis, Trellis® procedure, venous mechanical thrombectomy, left iliac vein stenting.
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How to Cite
Ahsan, I., Qureshi, B. G., Ghani, A. R., Malik, F., & Arif, Z. (2017). An extensive unprovoked left lower extremity deep vein thrombosis secondary to an anatomical anomaly: a case of May-Thurner syndrome. Clinics and Practice, 7(2). https://doi.org/10.4081/cp.2017.938