May Thurner Syndrome (MTS), A Rare Cause of Recurrent Lower Extremity Deep Venous Thrombosis (DVT)
DOI:
https://doi.org/10.51253/pafmj.v76i6.12461Keywords:
Deep Vein Thrombosis, May Thurner Syndrome, ThrombosisAbstract
This case report highlights a rare cause of Deep Venous Thrombosis (DVT) of lower extremities. We report a case of 32 years old young male, who presented with recurrent history of unprovoked DVT. Initially treated as a case of idiopathic DVT, after extensive laboratory and radiological investigations diagnosis of May Thurner syndrome was established. It is essential for young physicians to keep such rare diagnosis in differentials while dealing with patients with unprovoked recurrent DVT.
Downloads
References
1. Kruger PC, Eikelboom JW, Douketis JD, Hankey GJ. Deep vein thrombosis: update on diagnosis and management. Med J Aust 2019; 210(11): 516-524. https://doi.org/10.5694/mja2.50201
2. Johannesen CD, Flachs EM, Ebbehøj NE, Marott JL, Jensen GB, Nordestgaard BG et al. Sedentary work and risk of venous thromboembolism. Scand J Work Enviro Health 2020; 46(1): 69-76.
https://doi.org/10.5271/sjweh.3841
3. Armenta Flores R, Armenta-Villalobos D, Ramirez-Centeno E, Harrison-Ragle D, Carrillo LG. May Thurner syndrome: Sixty years later. Phlebology 2022; 37(1): 5-13.
https://doi.org/10.1177/026835552110452
4. Park JY, Park KM, Cho SG, Hong KC, Jeon YS. Atypical iliac vein compression in patients with symptomatic May–Thurner syndrome. Diagn Interv Radiol 202; 27(3): 372.
https://doi.org/10.5152/dir.2021.20183
5. May R, Thurner J. The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology 1957; 8(5): 419-427.
https://doi.org/10.1177/000331975700800505
6. Harbin MM, Lutsey PL. May‐Thurner syndrome: history of understanding and need for defining population prevalence. J Thromb Haemost 2020; 18(3): 534-542.
https://doi.org/10.1111/jth.14707
7. Negus D, Fletcher EW, Cockett FB, Thomas ML. Compression and band formation at the mouth of the left common iliac vein. Br J Surg 1968; 55(5): 369-374.
https://doi.org/10.1002/bjs.1800550510
8. Cockett FB, Thomas ML, Negus D. Iliac vein compression.--Its relation to iliofemoral thrombosis and the post-thrombotic syndrome. Br Med J 1967; 2(5543): 14.
https://doi.org/10.1136/bmj.2.5543.14
9. Poyyamoli S, Mehta P, Cherian M, Anand RR, Patil SB, Kalva S, et al. May-Thurner syndrome. Cardiovasc Diagn Ther 2021; 11(5): 1104-1111.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Amir Rashid, Karamat Ali, Attia Khaliq, Abdul Rehman Arshad

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.





