Case Report
Volume 3 Issue 11 - 2020
Unusual Presentation of May-Thurner Syndrome: A Case Report and Review of Literature
Ramy Ibrahim1*, Mazen M Salama2, Aghapy Kirolos3, Jose Ruben Hermann4 and Mina Khalil4
1Medical Director, Premier Medical Associates, The Villages, Florida, USA
2Healthcare Data Scientist MD MSc CPDS, Premier Medical Associates, The Villages, Florida, USA
3Research Assistant for Premier Medical Associates, The Villages, Florida, USA
4Clinical Care Coordinator, Premier Medical Associates, The Villages, Florida, USA
*Corresponding Author: Ramy Ibrahim, Medical Director, Premier Medical Associates, The Villages, Florida, USA.
Received: September 28, 2020; Published: October 19, 2020


Iliac vein compression syndrome (IVCS) that presents with unclear etiology is known also as May-Thurner syndrome. The syndrome is due to the compression of the left common iliac vein occurring between the right common iliac artery and superior vertebrae leading to a rare presentation of deep vein thrombosis (DVT). It is uncommon for patients with an established diagnosis of IVCS to present with an obstruction of venous outflow or pulmonary emboli without the occurrence thrombosis in the deep venous system. A patient should be treated promptly to prevent life threatening consequences associated with the prior. Our case study presents a 46-year-old African American female without history of smoking or any other IVCS risk factors. We diagnosed her with a pulmonary emboli and a compressed left common iliac vein occurring without any symptoms in her lower extremities. The patient was successfully treated with catheter directed thrombolysis into the left iliac vein followed by therapeutic anticoagulation protocols.

Keywords: Iliac Vein Compression Syndrome (IVCS); Deep Vein Thrombosis (DVT); Pulmonary Embolism (PE)


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Citation: Ramy Ibrahim., et al. “Unusual Presentation of May-Thurner Syndrome: A Case Report and Review of Literature”. EC Clinical and Medical Case Reports 3.11 (2020): 30-34.

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