Abstract

SALDARRIAGA, Eugenia Lucía; VINASCO, Miguel  and  JAIMES, Diego Alejandro. May-Thurner syndrome as a differential diagnosis in recurrent thrombosis. Acta Med Colomb [online]. 2016, vol.41, n.1, pp.67-70. ISSN 0120-2448.

The May-Thurner syndrome is an anatomic abnormality generating venous insufficiency and recurrent thrombotic episodes of lower limbs.

The case of a 29 years old patient with clinical picture of recurrent deep venous thrombosis in lower limbs since the age of 20 years is presented. No risk factors were identified; extension studies for neoplasia and thrombophilia were performed with negative results, as well as studies for rheumatic disease with positive anti-nuclear antibodies (ANAs) at low titers as unique finding, being diagnosed as undifferentiated connective tissue disease and management with full anticoagulation is established. However, at the persistence of thrombotic events, an angio-CT which reports obstruction of the left iliac vein and the common vein is performed whereby a venography and cavography are done establishing the diagnosis of May Thurner syndrome, which should be considered within the differential diagnosis of recurrent thrombotic events. (Acta Med Colomb 2016; 41: 67-70).

Keywords : iliac compression syndrome; May-Thurner syndrome; Cockett syndrome; post-thrombotic syndrome; deep venous thrombosis.

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