Common iliac vein obstruction in a symptomatic population is associated with previous deep venous thrombosis, and with chronic pelvic pain in females

Abstract May-Thurner syndrome (MTS) is an unusual cause of deep venous thrombosis; even rarer is the spontaneous rupture of collaterals around the thrombosed common iliac vein due to MTS. We present a case of MTS which presented with left leg swelling and abdominal mass due to retroperitoneal haemorrhage.

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An Anomalous Cause of Deep Venous Thrombosis: A Case Report

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2021.4.51517 ◽

2021 ◽

Vol 5 (3) ◽

pp. 299-302

Author(s):

Jana Florian ◽

Huy Duong ◽

Jennifer Roh

Keyword(s):

Case Report ◽

Lower Extremity ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Anatomical Variation ◽

Lumbar Vertebrae ◽

Iliac Vein ◽

Common Iliac Vein ◽

Extrinsic Compression ◽

Common Diagnosis

Introduction: Lower extremity deep venous thrombosis (DVT) is a common diagnosis in the emergency department (ED). Deep venous thromboses can be the result of anatomical variation in the vasculature that predisposes the patient to thrombosis. May-Thurner syndrome (MTS) is one such anatomic variant defined by extrinsic compression of the left common iliac vein between the right common iliac artery and lumbar vertebrae. Case Report: We report such a case of a 39-year-old woman with no risk factors for thromboembolic disease who presented to the ED with extensive unilateral leg swelling and was ultimately diagnosed with MTS. Conclusion: This diagnosis is an important consideration particularly in patients who are young, female, have scoliosis or spinal abnormalities, or are at low risk for DVT yet who present with extensive lower extremity swelling and are found to have proximal thrombus burden. Often further imaging, anticoagulation, angioplasty, or thrombectomy are indicated to prevent morbidity and post-thrombotic syndrome in these patients.

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Deep Venous Thrombosis in a Patient with Duplication of the Common Iliac Vein

Annals of Vascular Surgery ◽

10.1016/j.avsg.2017.10.038 ◽

2018 ◽

Vol 49 ◽

pp. 313.e17-313.e19

Author(s):

Masanori Murakami ◽

Takashi Nagase ◽

Fumihisa Miyauchi ◽

Seiki Kobayashi

Keyword(s):

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Iliac Vein ◽

Common Iliac Vein ◽

The Common

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Three cases with May-Thurner syndrome: A possibly under-reported disorder

VASA ◽

10.1024/0301-1526.34.2.147 ◽

2005 ◽

Vol 34 (2) ◽

pp. 147-151 ◽

Cited By ~ 15

Author(s):

Dogan ◽

Boke

Keyword(s):

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Iliac Vein ◽

Young Female ◽

Common Iliac Vein ◽

Left Common Iliac Vein ◽

Underlying Factor ◽

Autopsy Series ◽

Leg Edema

The May-Thurner syndrome is an acquired stenosis of the left common iliac vein causing left lower leg edema, thigh discomfort, and deep venous thrombosis. This condition was first described by May and Thurner in 1956 in 22% of autopsy series. They concluded that it was the underlying factor for deep venous thrombosis on the left side. Here, we present three young female patients with May-Thurner syndrome, but without actual thrombosis. One of these patients was successfully treated with a Wall stent, and the other two patients underwent clinical follow-up with anticoagulant therapy.

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Abstract No. 10: [Cope] Common iliac vein diameter and risk of deep venous thrombosis

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2009.12.151 ◽

2010 ◽

Vol 21 (2) ◽

pp. S6

Author(s):

S. Carr ◽

G.L. Hwang ◽

J. Rosenberg ◽

D.Y. Sze ◽

D. Hovsepian ◽

...

Keyword(s):

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Iliac Vein ◽

Common Iliac Vein ◽

Vein Diameter

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A Case of Inferior Vena Cava Thrombosis Induced by Left Iliac Vein Stents

The Thoracic and Cardiovascular Surgeon Reports ◽

10.1055/s-0038-1672212 ◽

2018 ◽

Vol 07 (01) ◽

pp. e39-e42 ◽

Cited By ~ 1

Author(s):

Wei Wei ◽

Xuemei Jiang ◽

Bo Xu ◽

Yikuan Chen

Keyword(s):

Case Report ◽

Inferior Vena Cava ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Inferior Vena ◽

Vena Cava ◽

Iliac Vein ◽

Common Iliac Vein ◽

Vena Cava Thrombosis ◽

Inferior Vena Cava Thrombosis

AbstractStents have been widely used to restore the patency of the iliac vein in the treatment of its obstruction. However, various complications related to those stents have been reported. This case report covers a 67-year-old male who was diagnosed with left iliofemoral venous post-thrombotic syndrome with recurrent acute deep venous thrombosis. Thrombosis of the inferior vena cava was induced by pronounced extension of left iliac vein stents. Extending stents in this way covers the outlet of the contralateral common iliac vein and may induce thrombosis in the inferior vena cava.

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Arterial Compression of Left Iliac Veins: Five-Year Patency Rates of Endovascular Treatment

Journal for Vascular Ultrasound ◽

10.1177/1544316718763388 ◽

2018 ◽

Vol 42 (1) ◽

pp. 11-17 ◽

Cited By ~ 1

Author(s):

Fanilda Souto Barros ◽

Sergio X. Salles-Cunha ◽

Leonard Hermann Roelke ◽

Domingos de Morais Filho ◽

Nélio Artur de Paula Brandão ◽

...

Keyword(s):

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Endovascular Treatment ◽

Iliac Vein ◽

Common Iliac Vein ◽

Secondary Patency ◽

External Iliac Vein ◽

Us Findings ◽

Angioplasty And Stenting

Endovascular angioplasty and stenting have become a treatment of choice for severely symptomatic left iliac veins under external, arterial compression. Patency rates of stented iliac veins based on ultrasonographic (US) findings were estimated. Retrospective analyses of gender, age, deep venous thrombosis (DVT) prior to stenting, stent location at common and/or external iliac veins, and patency rates from 1 month to 5 years were performed. Patients treated were mostly women (72 of 79, 91%), aged 51 ± 16 (25-89) years. Patency rates were 96% at 1 month, 89% at 1 year, and 85% at 3 to 5 years, best for common iliac, 95%, than for external iliac vein stents, subgroup with prior DVT, with secondary patency rates of 75%. US demonstrated acceptable patency rates for iliac vein stenting showing good performance for common iliac vein stents but a decreased performance with stent extending to the external iliac vein or stents placed in patients with prior iliac DVT.

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