Badawy Ehab, Seif Mohammed A, Elmoheen Amr
Emergency Department, Hamad Medical Corporation, Doha, Qatar.
Open Access Emerg Med. 2020 May 1;12:121-125. doi: 10.2147/OAEM.S246018. eCollection 2020.
May-Thurner syndrome (MTS) is a clinical condition characterized by the compression of the left iliac vein by the right iliac artery. This condition predisposes the patient to deep venous thrombosis (DVT). We present the case of a 30-year-old female who arrived at the emergency department of our facility with progressive left leg swelling for four weeks, with low-risk probability for DVT. Examination revealed left leg swelling with pitting edema extending up to the knee. Her calf muscle was tender to palpation. Dorsalis pedis, anterior tibial, and posterior tibial pulsations were fairly palpable due to the edema; however, the rest of her pulsations were appropriately felt. Therefore, the provisional diagnosis of possible DVT was made, and further investigations were requested. We present this case intending to highlight the clinical presentation of May-Thurner syndrome, its diagnosis, and treatment.
梅-图二氏综合征（MTS）是一种临床病症，其特征为右髂动脉压迫左髂静脉。这种情况使患者易患深静脉血栓形成（DVT）。我们报告一例30岁女性病例，该患者因左腿进行性肿胀四周前来我院急诊科就诊，深静脉血栓形成风险较低。检查发现左腿肿胀，伴有凹陷性水肿，向上延伸至膝盖。触诊时小腿肌肉压痛。由于水肿，足背动脉、胫前动脉和胫后动脉搏动尚可触及；然而，其他部位的搏动可正常感知。因此，初步诊断为可能的深静脉血栓形成，并要求进行进一步检查。我们展示此病例旨在突出梅-图二氏综合征的临床表现、诊断及治疗。
