Mir Wasey Ali Yadullahi, Shrestha Dhan B, Aryal Barun B, Lord Victoria, Verda Larissa
Department of Internal Medicine, Mount Sinai Hospital, Chicago, USA.
Department of Emergency Medicine, BP Smriti Hospital, Kathmandu, NPL.
Cureus. 2021 Jul 28;13(7):e16682. doi: 10.7759/cureus.16682. eCollection 2021 Jul.
May-Thurner syndrome (MTS) is a rare clinical condition caused by extrinsic compression of the left common iliac vein by the right common iliac artery, leading to venous stasis and predisposing to thrombus formation. Here, we present the case of a 39-year-old female with no obviously known other risk factors predisposing to thrombosis who presented with severe left leg pain and swelling for a week. The international normalized ratio was elevated and the venous Doppler study showed extensive thrombosis extending from the left common iliac vein to the common femoral vein and the popliteal vein. She was diagnosed with MTS and treated with catheter-directed mechanical thrombolysis and thrombectomy, along with angioplasty of the left common iliac vein and external iliac vein, with near-complete resolution post-treatment. MTS should be suspected in patients who present with unilateral limb thrombosis regardless of the presence of predisposing factors. Timely management with endovascular procedures is necessary to help prevent other potential life-threatening complications.
梅-图二氏综合征（May-Thurner syndrome，MTS）是一种罕见的临床病症，由右髂总动脉对左髂总静脉的外在压迫所致，可导致静脉淤滞并易引发血栓形成。在此，我们报告一例39岁女性病例，该患者无其他明显已知的易患血栓形成的危险因素，出现左腿严重疼痛和肿胀一周。国际标准化比值升高，静脉多普勒检查显示广泛血栓形成，从左髂总静脉延伸至股总静脉和腘静脉。她被诊断为梅-图二氏综合征，并接受了导管定向机械溶栓和血栓切除术，同时对左髂总静脉和髂外静脉进行了血管成形术，治疗后几乎完全缓解。对于出现单侧肢体血栓形成的患者，无论是否存在易感因素，均应怀疑梅-图二氏综合征。及时采用血管内治疗方法进行处理对于预防其他潜在的危及生命的并发症很有必要。
