Presentation
We present a case of a 31-year-old woman presenting at 28 weeks’ gestation with progressive history of lower left leg edema since 21 weeks’ gestation. [scipublications.com]
Women presented at a younger age compared with men (38.7 ± 14.0 years vs 46.2 ± 16.9 years; P = .02). [ncbi.nlm.nih.gov]
Children presenting with NCS are largely asymptomatic, but flank/abdominal pain and varicocele may be present; urinalysis findings of proteinuria and hematuria are also common. [appliedradiology.com]
MTS is seen most commonly in pregnancy and the postpartum period, typically presenting in the second to fourth decades of life. The condition is also seen... [go.gale.com]
Entire Body System
- Soft Tissue Swelling
Exam demonstrated extensive soft tissue swelling to his left lower extremity. A temporary external fixator spanning both fractures was applied to allow soft tissue rest. [pssjournal.biomedcentral.com]
Musculoskeletal
- Leg Weakness
We have also encountered DVT caused by MTS in the left leg of an ALS patient with weakness of both lower extremities. [ncbi.nlm.nih.gov]
Fetus
- Spontaneous Rupture of Membranes
Patient had spontaneous rupture of membranes at 39 weeks’ gestation with last Lovenox dose administered the day before. [scipublications.com]
Workup
In patients presenting with stroke or TIA where the initial workup is negative, further workup should include echocardiogram with bubble studies to look for a PFO. TTE with bubble study is the more popular initial test used to diagnose PFO. [hindawi.com]
A thorough thrombophilia workup was obtained and negative. Protein C and S were elevated (Table 1). [scipublications.com]
We review the differential diagnosis, diagnostic workup, and initial ED management of deep venous thrombosis and provide a brief discussion of May-Thurner syndrome and the association of isotretinoin and vascular thrombi. [ncbi.nlm.nih.gov]
Treatment
Treatment is usually initiated with medications including anticoagulation and or antiplatelet agents. However, the current standard of care centers around treatment of the underlying compression of the left common iliac vein. [thevascularexperts.com]
Since then, treatment of this syndrome has been sharing opinions about conservative treatment or surgical approach, especially after the advent of Endovascular treatment [1-5]. [vascular-endovascular-therapy.imedpub.com]
Generally, this syndrome has been treated with an aggressive intervention treatment, such as an angioplasty or a stent insertion, because treatment with only anticoagulants is ineffective.4,5 Shin et al.2 report iliac vein compression syndrome in patients [ncbi.nlm.nih.gov]
May-Thurner Syndrome Treatment May-Thurner syndrome is treatable. Your treatment will depend on your symptoms and risk factors. Some treatments for May-Thurner syndrome can include: Blood thinners, which can prevent blood clots. [upmc.com]
Prognosis
Treatment and prognosis Because of the high prevalence of asymptomatic iliac vein compression, follow up is not necessary unless the patient is symptomatic from the process. [radiopaedia.org]
The prognosis for patients with May-Thurner syndrome is usually good, particularly if the syndrome is diagnosed and treated in its early stages. [minimallyinvasivevascularcenters.com]
Outlook / Prognosis Are there complications of May-Thurner syndrome? The main complication of May-Thurner syndrome is DVT. If a blood clot in your legs breaks off and travels to your lungs, it’s known as a pulmonary embolism. [my.clevelandclinic.org]
Neuralgia amyotrophy (paralytic brachial neuritis) with special reference to prognosis. Lancet. 1957;2:209–212. [PubMed] [Google Scholar] 81. Tyring S, Barbarash RA, Nahlik JE, et al. [ncbi.nlm.nih.gov]
Etiology
BACKGROUND The etiology of deep venous thrombosis (DVT) may pose a significant diagnostic challenge because truly reversible causes of DVT are rare. [ncbi.nlm.nih.gov]
(August 23, 2019) May-Thurner Syndrome and Patent Foramen Ovale: A Rare Etiology of Cryptogenic Stroke. [cureus.com]
Copyright & Usage: 2019 American College of Cardiology Foundation Sara Collins and Reuben Azad Abington Hospital Jefferson Health, Abington, PA, USA Background May-Thurner syndrome(MTS) is estimated to be the etiology of symptomatic deep venous thrombosis [onlinejacc.org]
Epidemiology
KEYWORDS: Combined modality therapy; constriction, pathologic/complications/diagnosis/epidemiology/therapy; edema/etiology/pathophysiology; iliac vein/pathology/ultrasonography; lower extremity/blood supply; magnetic resonance angiography; peripheral [ncbi.nlm.nih.gov]
Our goal is to raise awareness of MTS and spark additional research into the epidemiology of this condition, which may be an underappreciated causative venous thromboembolism risk factor. [onlinelibrary.wiley.com]
Kurtis Kim - MercyDownload May – Thurner Syndrome: How to Diagnose and TreatDownload Iliac Vein Compression: Epidemiology, Diagnosis and Treatment - Video abstract [ID 203349]Download Episode 6 | May-Thurner or Iliac Vein Compression SyndromeDownload [pagebd.com]
The epidemiology of venous thromboembolism. Circulation 2003 ; 107 : I-4 – 8. 2 Virchow RR. Cellular Pathology. London, Churchill, 1860. 3 Homans J. Thrombosis of the deep leg veins due to prolonged sitting. [academic.oup.com]
Pathophysiology
The current pictorial essay will review the pathophysiology, imaging, and treatment of MTS. KEYWORDS: Computed tomography; Deep vein thrombosis; Iliac vein compression syndrome; May–Thurner syndrome [ncbi.nlm.nih.gov]
ANATOMY AND PATHOPHYSIOLOGY Iliac vein compression was first described in the 19th century by Virchow. [mhmedical.com]
Prevention
Prevention and follow-up utilize periodic venous ultrasound imaging. [vascularhealthclinics.org]
[…] filter to prevent the pulmonary artery embolism, which could have been created by the previous blood clot. [ncbi.nlm.nih.gov]
The compression prevents blood from flowing properly, leading to narrowing and scarring. In some cases, an artery can compress the right iliac vein, or both veins. [upmc.com]
She reported that she had been walking her dog when the sharp pain occurred and prevented her from walking any further. [journals.lww.com]