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Case Reports in Vascular Medicine
Volume 2019, Article ID 7079307, 4 pages
https://doi.org/10.1155/2019/7079307
Case Report

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

Minneapolis Heart Institute, Minneapolis, MN, USA

Correspondence should be addressed to Nedaa Skeik; moc.anilla@kieks.aaden

Received 17 January 2019; Revised 12 April 2019; Accepted 18 April 2019; Published 30 April 2019

Academic Editor: Nikolaos Papanas

Copyright © 2019 Lori Jia et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.