Sabat David, Skelly Alyson, Biglione Alejandro
Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.
Internal Medicine, Wellington Regional Medical Center, Wellington, USA.
Cureus. 2025 Mar 7;17(3):e80212. doi: 10.7759/cureus.80212. eCollection 2025 Mar.
May-Thurner syndrome (MTS) involves the compression of the left iliofemoral vein by the right common iliac artery against the vertebral body, creating an environment conducive to venous stasis and endothelial injury, which predisposes patients to deep vein thrombosis (DVT). Although often asymptomatic, MTS can present with lower extremity swelling and claudication. We present a case of a 72-year-old female who developed extensive left lower extremity DVT. Imaging studies, including Doppler ultrasound and venography, confirmed the diagnosis of MTS with significant vessel occlusion. Treatment involved mechanical thrombectomy, angioplasty, and iliac vein stenting. The patient demonstrated rapid symptom resolution post-procedure and was discharged on anticoagulation therapy. This case underscores the importance of recognizing anatomical factors like MTS in patients with DVT and highlights the role of interventional management in preventing complications.
梅-图二氏综合征（MTS）是指右髂总动脉压迫左髂股静脉并抵靠椎体，从而形成有利于静脉淤滞和内皮损伤的环境，使患者易患深静脉血栓形成（DVT）。尽管MTS通常无症状，但也可能表现为下肢肿胀和跛行。我们报告一例72岁女性发生广泛左下肢深静脉血栓形成的病例。包括多普勒超声和静脉造影在内的影像学检查确诊为MTS伴严重血管闭塞。治疗包括机械性血栓切除术、血管成形术和髂静脉支架置入术。患者术后症状迅速缓解，出院时接受抗凝治疗。该病例强调了认识DVT患者中如MTS等解剖学因素的重要性，并突出了介入治疗在预防并发症中的作用。
