McKean David, Allman Sutcliffe James, El Hassan Hassan, Parvizi Nassim, Wali Anuj, Warakaulle Dinuke, Teh James, Seel Edward, Blagg Stuart, Hughes Richard J
Radiology Department, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK.
Radiology Department, Oxford University Hospitals NHS Trust, Headington, Oxford, UK.
BJR Case Rep. 2017 Aug 4;3(4):20170011. doi: 10.1259/bjrcr.20170011. eCollection 2017.
May-Thurner syndrome (MTS) is a rare condition in which patients develop iliofemoral deep venous thrombosis due to an anatomical variant in which the right common iliac artery overlies and compresses the left common iliac vein against the lumbar spine. We report a case of variant MTS, where vascular distortion secondary to spontaneous spinal arthrodesis of degenerative lumbar spondylolisthesis resulted in left common iliac vein compression and iliofemoral deep vein thrombosis. While the common complications of degenerative spondylolisthesis, such as spinal stenosis, are well described; the potential for pelvic vascular distortion secondary to anterior translation of the lumbar spine is not well recognized. The purpose in presenting this case is to describe the mechanism by which this variant of MTS occurs and highlight the need for vigilance for this unusual clinical entity.
梅-图二氏综合征（May-Thurner syndrome，MTS）是一种罕见病症，患者因一种解剖变异而发生髂股深静脉血栓形成，即右髂总动脉覆盖并将左髂总静脉压迫至腰椎。我们报告一例变异型MTS病例，其中退行性腰椎滑脱症的自发性脊柱融合继发的血管扭曲导致左髂总静脉受压和髂股深静脉血栓形成。虽然退行性腰椎滑脱症的常见并发症，如椎管狭窄，已有详细描述；但腰椎前移位继发盆腔血管扭曲的可能性尚未得到充分认识。呈现此病例的目的是描述这种变异型MTS的发生机制，并强调对这种不寻常临床实体保持警惕的必要性。
