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May-Thurner Syndrome: A Neglected Cause of Unilateral Leg Swelling

Authors Badawy E, Seif MA, Elmoheen A

Received 15 January 2020

Accepted for publication 19 April 2020

Published 1 May 2020 Volume 2020:12 Pages 121—125


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Hans-Christoph Pape

Ehab Badawy, Mohammed A Seif, Amr Elmoheen

Emergency Department, Hamad Medical Corporation, Doha, Qatar

Correspondence: Amr Elmoheen
Emergency Department, Hamad Medical Corporation, PO Box: 91248, Doha, Qatar
Tel + 974 33695722

Abstract: May-Thurner syndrome (MTS) is a clinical condition characterized by the compression of the left iliac vein by the right iliac artery. This condition predisposes the patient to deep venous thrombosis (DVT). We present the case of a 30-year-old female who arrived at the emergency department of our facility with progressive left leg swelling for four weeks, with low-risk probability for DVT. Examination revealed left leg swelling with pitting edema extending up to the knee. Her calf muscle was tender to palpation. Dorsalis pedis, anterior tibial, and posterior tibial pulsations were fairly palpable due to the edema; however, the rest of her pulsations were appropriately felt. Therefore, the provisional diagnosis of possible DVT was made, and further investigations were requested. We present this case intending to highlight the clinical presentation of May-Thurner syndrome, its diagnosis, and treatment.

Keywords: May-Thurner syndrome, deep vein thrombosis, leg swelling

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