Schwarzman Logan, Aguilar Jack, Megowan Nichelle
Division of Cardiology, Department of Medicine, Harbor-UCLA Medical Center, Torrance, CA.
J Vasc Surg Cases Innov Tech. 2024 Oct 24;11(1):101658. doi: 10.1016/j.jvscit.2024.101658. eCollection 2025 Feb.
May-Thurner syndrome, also known as external iliac compression syndrome, is a rare but commonly underdiagnosed cause of asymmetric lower extremity edema. Here we describe a case of May-Thurner syndrome owing to external compression of the right and left common iliac veins presenting as chronic worsening asymmetric right greater than left lower extremity edema. Initial etiology workup was unremarkable, and further diagnostics revealed compression of the right common iliac vein at the bifurcation of the right common iliac artery between the right external and internal iliac arteries with concomitant compression of the left common iliac vein. Stenting of the right common iliac vein was completed, with significant symptomatic improvement at 30-day follow-up. This case documents a unique variant of May-Thurner syndrome rarely described in the literature.
梅-图二氏综合征，也称为髂外静脉受压综合征，是一种罕见但常被漏诊的导致下肢不对称水肿的病因。在此，我们描述一例梅-图二氏综合征病例，该病例是由于左右髂总静脉受到外部压迫，表现为慢性加重的不对称性右下肢比左下肢水肿更严重。初始病因检查无异常，进一步诊断显示右髂总静脉在右髂总动脉分叉处，即右髂外动脉和右髂内动脉之间受压，同时左髂总静脉也受压。右髂总静脉支架置入术已完成，30天随访时症状有显著改善。该病例记录了梅-图二氏综合征一种独特的变异型，在文献中很少被描述。
