Presentation
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]
Skin
- Night Sweats
This pain worsened through the subsequent weeks and she developed fevers, chills, and night sweats, and she came to the emergency department. There, she was found to have left thigh and leg swelling. [vascsurg.me]
- Chronic Dermatitis
More delayed symptoms can occur in the legs as well, including heaviness and fatigue, chronic dermatitis, skin ulcers or wounds of the ankles and feet, leg asymmetry, and chronic leg pain or swelling. [cardiovascularaustin.com]
Musculoskeletal
- Thigh Pain
A 59-year-old patient presented to the chronic pain clinic with a 6-week history of worsening lumbar back pain, bilateral thigh pain, and unilateral radiculopathy. [ncbi.nlm.nih.gov]
Psychiatrical
- Claustrophobia
Aside from claustrophobia, the limitations of MRV include a lengthy procedure time, pregnancy, and patient with renal failure and with implanted metallic devices. 3.3 Computed tomographic venography (CTV) CTV had been used for diagnosis of DVT at the [intechopen.com]
Neurologic
- Expressive Aphasia
Case Presentation A 45-year-old Hispanic female presented to our community hospital with sudden onset of expressive aphasia, dysarthria and right upper extremity weakness. This patient was last known well one hour prior to arrival. [cureus.com]
Urogenital
- Adnexal Mass
After resuscitation, an urgent CT of abdomen, pelvis and chest was organized; this confirmed DVT of the left common iliac vein and also a large left adnexal mass with minimal ascites (Fig. 1). [academic.oup.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]
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]
After discovering May Thurner syndrome, most experts would recommend a workup looking for other risk factors for clot formation. This is often called a hypercoagulable workup. [verywellhealth.com]
Treatment
The patient was discharged home with anticoagulation treatment and compression stocking. [ncbi.nlm.nih.gov]
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]
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]
The research in improving prognosis of stent placement for nonthrombotic iliac venous compression syndrome[J]. Chinese Journal of Vascular Surgery, 2016, 1 (1): 26- 29, 36 14 丁锦辉, 丁贺义, 刘军乐 et al. 下肢静脉曲张并髂静脉压迫综合征一体化微创治疗临床观察[J]. [zjujournals.com]
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]
She reported that she had been walking her dog when the sharp pain occurred and prevented her from walking any further. [journals.lww.com]
Early recognition of May-Thurner could prevent a DVT and provide symptomatic relief. [ncbi.nlm.nih.gov]