Inam Hina, Shaikh Fareed Ahmed, Siddiqui Nadeem Ahmed
Aga khan University Hospital Karachi, Pakistan.
J Pak Med Assoc. 2019 Jul;69(7):1044-1048.
May-Thurner syndrome (MTS) is a rare disease common in middle aged females, characterised by left-sided lower limb Deep vein thrombosis (DVT) due to compression of the left iliac vein by the overriding right iliac artery. Pregnanc y and puerperal phases are one of the hypercoagulable states further predisposing towards th rombu s format io n. Treatme nt in c lu de s both conservative and interventional (venous thrombectomy with or without stenting). Here we report a case of a 34- year-old female in her early postpartum period who visited the Agha Khan University Hospital in July 2016, with the onset of acute pain and swelling in the left leg. Her workup revealed left-sided Acute DVT, secondary to MTS. Her case was su cces sfull y mana ged with conservative treatment. This case is an important addition to medical literature in the sense that DVT occurring on the onset of postpartum period should not always be attributed to the hypercoagulability, secondary to pregnancy. With early diagnosis and aggressive management, MT Scan be easily managed .
梅-图二氏综合征（MTS）是一种在中年女性中常见的罕见疾病，其特征是由于右侧髂总动脉压迫左侧髂静脉，导致左侧下肢深静脉血栓形成（DVT）。妊娠和产褥期是进一步易引发血栓形成的高凝状态之一。治疗方法包括保守治疗和介入治疗（有或无支架置入的静脉血栓切除术）。在此，我们报告一例34岁处于产后早期的女性病例，该患者于2016年7月就诊于阿迦汗大学医院，出现左腿急性疼痛和肿胀。她的检查显示继发于梅-图二氏综合征的左侧急性深静脉血栓形成。她的病例通过保守治疗成功得到处理。从产后初期发生的深静脉血栓形成不应总是归因于妊娠继发的高凝状态这一意义上来说，该病例是医学文献中的一个重要补充。通过早期诊断和积极治疗，梅-图二氏综合征可以很容易得到处理。
