Shah Monarch, Vayzband Vlad, Nabi Michelle, Chandna Sanya
Internal Medicine Saint Peter's University Hospital.
Brown J Hosp Med. 2022 Nov 1;1(4):39659. doi: 10.56305/001c.39659. eCollection 2022.
May-Thurner syndrome is rarely considered in the differential diagnosis of deep vein thrombosis (DVT). Patients present with a clinical picture suggestive of DVT, and the true diagnosis is not confirmed until CT venography. We present a case of a 71-year-old woman, with risk factors of hypercoagulability, such as an anatomical variant and a 50-pack-year history, who presented with sudden onset swelling and redness of her left leg. Further investigation led to a diagnosis of May-Thurner syndrome. Our case discusses this extrinsic cause of venous stasis and how early diagnosis, and treatment can prevent the progression into Phlegmasia Cerulea Dolens.
梅-图二氏综合征在深静脉血栓形成（DVT）的鉴别诊断中很少被考虑。患者表现出提示DVT的临床症状，直到CT静脉造影才确诊。我们报告一例71岁女性病例，她有高凝状态的危险因素，如解剖变异和50年的吸烟史，出现左腿突然肿胀和发红。进一步检查诊断为梅-图二氏综合征。我们的病例讨论了这种静脉淤滞的外在原因，以及早期诊断和治疗如何预防发展为股青肿。
