May-Thurner Syndrome: A Neglected Cause of Unilateral Leg Swelling.

May-Thurner syndrome deep vein thrombosis leg swelling

Journal

Open access emergency medicine : OAEM
ISSN: 1179-1500
Titre abrégé: Open Access Emerg Med
Pays: New Zealand
ID NLM: 101570796

Informations de publication

Date de publication:
2020
Historique:
received: 15 01 2020
accepted: 19 04 2020
entrez: 21 5 2020
pubmed: 21 5 2020
medline: 21 5 2020
Statut: epublish

Résumé

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.

Identifiants

pubmed: 32431556
doi: 10.2147/OAEM.S246018
pii: 246018
pmc: PMC7202772
doi:

Types de publication

Case Reports

Langues

eng

Pagination

121-125

Informations de copyright

© 2020 Badawy et al.

Déclaration de conflit d'intérêts

The authors declare that there is no conflict of interest.

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Auteurs

Ehab Badawy (E)

Emergency Department, Hamad Medical Corporation, Doha, Qatar.

Mohammed A Seif (MA)

Emergency Department, Hamad Medical Corporation, Doha, Qatar.

Amr Elmoheen (A)

Emergency Department, Hamad Medical Corporation, Doha, Qatar.

Classifications MeSH