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Clinics and Practice
Volume 7
Issue 2
10.4081/cp.2017.938
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

An Extensive Unprovoked Left Lower Extremity Deep Vein Thrombosis Secondary to an Anatomical Anomaly: A Case of May-Thurner Syndrome

by
Irfan Ahsan
1,*,
Binish G. Qureshi
2,
Ali Raza Ghani
1,
Faizan Malik
1 and
Zulfiqar Arif
1
1
Department of Internal Medicine, Abington Hospital, Jefferson Health, Abington, PA, USA
2
Department of Internal Medicine, St. Luke’s Hospital, Chesterfield, MO, USA
*
Author to whom correspondence should be addressed.
Clin. Pract. 2017, 7(2), 938; https://doi.org/10.4081/cp.2017.938
Submission received: 13 January 2017 / Revised: 13 January 2017 / Accepted: 28 February 2017 / Published: 6 April 2017

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.
Keywords: May-Thurner syndrome; left lower extremity deep vein thrombosis; Trellis® procedure; venous mechanical thrombectomy; left iliac vein stenting May-Thurner syndrome; left lower extremity deep vein thrombosis; Trellis® procedure; venous mechanical thrombectomy; left iliac vein stenting

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MDPI and ACS Style

Ahsan, I.; Qureshi, B.G.; Ghani, A.R.; Malik, F.; Arif, Z. An Extensive Unprovoked Left Lower Extremity Deep Vein Thrombosis Secondary to an Anatomical Anomaly: A Case of May-Thurner Syndrome. Clin. Pract. 2017, 7, 938. https://doi.org/10.4081/cp.2017.938

AMA Style

Ahsan I, Qureshi BG, Ghani AR, Malik F, Arif Z. An Extensive Unprovoked Left Lower Extremity Deep Vein Thrombosis Secondary to an Anatomical Anomaly: A Case of May-Thurner Syndrome. Clinics and Practice. 2017; 7(2):938. https://doi.org/10.4081/cp.2017.938

Chicago/Turabian Style

Ahsan, Irfan, Binish G. Qureshi, Ali Raza Ghani, Faizan Malik, and Zulfiqar Arif. 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, no. 2: 938. https://doi.org/10.4081/cp.2017.938

APA Style

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), 938. https://doi.org/10.4081/cp.2017.938

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