Khan Tabassum A, Rudolph Karen P, Huber Thomas S, Fatima Javairiah
Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville, Fla.
J Vasc Surg Cases Innov Tech. 2019 Jun 25;5(3):252-254. doi: 10.1016/j.jvscit.2019.02.008. eCollection 2019 Sep.
May-Thurner syndrome (MTS) refers to compression of the left common iliac vein (CIV) by the common iliac artery. Although this is typically manifested as acute left lower extremity deep venous thrombosis, MTS is a rare cause of pelvic congestion syndrome. A 17-year-old girl presented with a 5-year history of worsening painful vulvar and labial varicosities. Venography demonstrated pelvic collateralization and left CIV stenosis consistent with MTS. The left CIV was stented with complete radiographic resolution. At 1-year follow-up, the patient is asymptomatic with a widely patent stent. This case highlights the role of endovascular therapy for patients presenting with MTS causing pelvic congestion syndrome.
梅-图二氏综合征（MTS）是指左髂总静脉（CIV）受到髂总动脉的压迫。尽管这通常表现为急性左下肢深静脉血栓形成，但MTS是盆腔充血综合征的罕见病因。一名17岁女孩有5年逐渐加重的外阴和阴唇静脉曲张伴疼痛病史。静脉造影显示盆腔侧支循环形成以及与MTS相符的左CIV狭窄。对左CIV进行了支架置入术，放射影像学显示完全缓解。在1年的随访中，患者无症状，支架通畅。该病例突出了血管内治疗在因MTS导致盆腔充血综合征患者中的作用。
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