May-thumer syndrome: A forgotten cause of venous thromboembolism

Abstract

The annual incidence rates of venous thromboembolism are approximately 1 per 1,000 persons per year in adult population. Deep vein thrombosis (DVT) most frequently occurs in the setting of underlying illness, and anatomical abnormalities are rarely considered as an etiology for it. A well-described anatomical cause for DVT is "May-Thurner syndrome" (MTS), which occurs as a result of compression of the left common iliac vein by the overlying right common iliac artery. This syndrome most often affects young to middle-aged women. Pulmonary embolism (PE) occurs very rarely in these patients. Anticoagulation therapy alone is not enough in these patients. We report a case of 27-year-old male who had both left DVT and PE caused by MTS and was treated with endovascular management along with long-term anticoagulation.