Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2021)

Unusual presentation of right-sided May-Thurner syndrome

  • Abdullah Nasif, MD,
  • Amin Mohamed Ahmed, MD,
  • Somya Al-Embideen, MD,
  • Munier Nazzal, MD, MBA,
  • Mohamed Osman, MD, MBA,
  • Ayman Ahmed, MD, FSVS

Journal volume & issue
Vol. 7, no. 4
pp. 768 – 771

Abstract

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May-Thurner syndrome commonly presents with left leg swelling. Right-sided venous compression syndromes are rare. We report a 49-year-old gentleman who presented with right lower extremity swelling after leg trauma. He was found to have right distal common iliac vein compression by the overlying right internal iliac artery. He was treated with an endovascular approach with balloon venoplasty and stenting. This is a unique presentation of May-Thurner syndrome variation affecting the right lower extremity with limited description in the literature.

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