Oğuzkurt Levent, Ozkan Uğur, Tercan Fahri, Koç Zafer
Department of Radiology, Başkent University School of Medicine, Adana, Turkey.
Diagn Interv Radiol. 2007 Sep;13(3):152-5.
Iliac vein compression syndrome (IVCS), also known as May-Thurner syndrome, is the result of compression of the left common iliac vein between the right common iliac artery and overlying vertebrae. The most common clinical presentation is left lower extremity deep vein thrombosis. Rarely, a patient with IVCS can present with obstruction of venous outflow, without deep vein thrombosis. Iliac vein compression, with or without thrombosis, should be treated if symptomatic. We present a patient with IVCS that was initially diagnosed with transabdominal ultrasonography (US), and then confirmed with computed tomography and venography with pressure measurements. We believe this is the first report of an IVCS patient diagnosed with US.
髂静脉压迫综合征（IVCS），也称为梅-图二氏综合征，是由于右髂总动脉和覆盖其上的椎体之间对左髂总静脉的压迫所致。最常见的临床表现是左下肢深静脉血栓形成。极少数情况下，IVCS患者可出现静脉流出道梗阻，而无深静脉血栓形成。有症状的髂静脉压迫，无论有无血栓形成，均应予以治疗。我们报告一例IVCS患者，最初经腹部超声（US）诊断，随后经计算机断层扫描及压力测量静脉造影确诊。我们认为这是首例经超声诊断的IVCS患者报告。
