RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0044-1779256
Atypical May-Thurner Syndrome Caused by Large Lumbar Osteophyte
Abstract
An 82-year-old man presented to the emergency department with intermittent left lower extremity swelling for the last 4 to 5 months that limited his daily activities. The patient had a negative lower extremity venous duplex 3 months prior and had been treating symptoms with compression stockings but experienced no improvement. Venography showed venous outflow obstruction in his left common iliac vein and the etiology was confirmed to be a lumbar vertebral osteophyte compressing the vein. The patient underwent endovascular treatment with balloon venoplasty and stent placement over the lesion with return of adequate outflow. This report describes treatment of symptomatic left common iliac venous compression with endovascular therapy alone.
Publikationsverlauf
Artikel online veröffentlicht:
16. Februar 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Radaideh Q, Patel NM, Shammas NW. Iliac vein compression: epidemiology, diagnosis and treatment. Vasc Health Risk Manag 2019; 15: 115-122
- 2 Kibbe MR, Ujiki M, Goodwin AL, Eskandari M, Yao J, Matsumura J. Iliac vein compression in an asymptomatic patient population. J Vasc Surg 2004; 39 (05) 937-943
- 3 Park JY, Park KM, Cho SG, Hong KC, Jeon YS. Atypical iliac vein compression in patients with symptomatic May-Thurner syndrome. Diagn Interv Radiol 2021; 27 (03) 372-377
- 4 Wasserburger J, Haponyuk A, Modhia UM, Langsfeld M, Paterson AJ, Rana MA. Lumbosacral exostosis as a rare cause of iliac vein compression and significant limb swelling. J Vasc Surg Cases Innov Tech 2019; 5 (04) 529-531
- 5 Shin D, Mokkarala M, Allison S, Monroe E. Osteophytic iliac venous compression: technical considerations for a bony May-Thurner syndrome variant. J Clin Interventional Radiol 2018; 2 (02) 95-100
- 6 Pinkerton GE. Thrombosis of the abdominal aorta apparently caused by pressure from a vertebral osteophyte. Lancet 1948; 2 (6534): 811
- 7 Takasago T, Goto T, Tsutsui T. et al. A huge capital drop with compression of femoral vessels associated with hip osteoarthritis. Case Rep Orthop 2015; 2015: 709608
- 8 Dregelid E, Jenssen G, Jonung T, Braaten A. Pseudoaneurysm of the abdominal aorta due to a needle-like osteophyte on the first lumbar vertebra. J Vasc Surg 2007; 45 (05) 1059-1061
- 9 Hng J, Su S, Atkinson N. May-Thurner syndrome, a diagnosis to consider in young males with no risk factors: a case report and review of the literature. J Med Case Rep 2021; 15 (01) 141
- 10 Shamimi-Noori SM, Clark TWI. Venous stents: current status and future directions. Tech Vasc Interv Radiol 2018; 21 (02) 113-116