May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches

Abstract EN

May-Thurner syndrome (MTS) is a venous outflow obstruction disorder characterized by compression of the left common iliac vein by an overriding right common iliac artery.

MTS primarily affects young to middle-aged women, although many patients remain entirely asymptomatic.

Anatomic variations of MTS, while uncommon, have been described.

Treatment usually involves endovascular management, including thrombolysis and/or thrombectomy with or without inferior vena cava filter placement, followed by angioplasty and stenting of the left common iliac vein.

We report a unique case of a 31-year-old woman who presented with MTS-related deep vein thrombosis accompanied by symptomatic abdominal and pelvic varicosities.

The varicosities were treated successfully using multiple procedures, resulting in complete resolution of all symptoms.

Our case discusses a treatment approach for an unusual presentation of MTS-related postthrombotic syndrome, and provides a brief literature review of MTS complications and management.