+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

May-Thurner syndrome presenting as spontaneous left iliac vein rupture



May-Thurner syndrome presenting as spontaneous left iliac vein rupture



Journal of Vascular Surgery. Venous and Lymphatic Disorders 4(4): 479-481



Spontaneous iliac vein rupture resulting in a retroperitoneal hematoma is extremely rare and can present as a life-threatening emergency. There is often a delay in diagnosis with no established treatment recommendations. We report the case of a 39-year-old woman who presented with hypovolemic shock, a large left retroperitoneal hematoma, and left lower extremity phlegmasia in the setting of a previously asymptomatic May-Thurner syndrome. She was successfully treated with a combined open and endovascular approach. We also reviewed the literature on the evolution of diagnosis and treatment of this rare condition and present our recommendations for management.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 058276616

Download citation: RISBibTeXText

PMID: 27639003

DOI: 10.1016/j.jvsv.2016.03.007


Related references

May-Thurner syndrome: an infrequent cause of spontaneous left iliac vein rupture. Medicina Intensiva 36(3): 239-240, 2012

Spontaneous rupture of the left common iliac vein associated with May Thurner syndrome: successful management with surgery and placement of an endovascular stent. British Journal of Radiology 80(956): E176-E179, 2007

IP275 The Largest U.S.-Based Case Series of Endovascular and Open Treatment of Spontaneous Left Iliac Vein Rupture in the Setting of May-Thurner Syndrome. Journal of Vascular Surgery 65(6): 128s-129s, 2017

Spontaneous Iliac Vein Rupture Due to May-Thurner Syndrome and Its Staged Management. Vascular and Endovascular Surgery 53(4): 348-350, 2019

Variant May-Thurner syndrome: Compression of the left common iliac vein by the ipsilateral internal iliac artery. Radiology Case Reports 13(2): 419-423, 2018

A case of fatal iliac vein rupture associated with May-Thurner syndrome. American Journal of Forensic Medicine and Pathology 34(3): 222-224, 2013

"Spontaneous" rupture of the left iliac vein complicating Cockett's syndrome. Archives des Maladies du Coeur et des Vaisseaux 96(4): 347-350, 2003

Museum of TMH Multimodality Imaging Center. Congenital aplasia of the left iliac vein in a patient with concomittant Sturge-Weber syndrome and May-Thurner syndrome with congenital aberrant left femoral to right greater saphenous vein bypass. Methodist Debakey Cardiovascular Journal 8(1): 49, 2012

Anomalous course of the left common iliac vein anterior to the right common iliac artery with resultant May-Thurner syndrome. Journal of Vascular Surgery. Venous and Lymphatic Disorders 7(3): 450-451, 2019

TCTAP C-162 Recurrent Occlusion After Left Iliac Vein Stenting in a Patient with May-Thurner Syndrome. Journal of the American College of Cardiology 65(17): S357-S358, 2015

Spontaneous rupture of the left external iliac vein. A complication of deep vein thrombophlebitis?. Ugeskrift for Laeger 161(48): 6639, 1999

Unusual case of left iliac vein compression secondary to Mays-Thurner syndrome and crossed fused renal ectopia. Saudi Medical Journal 29(4): 603-605, 2008

Spontaneous rupture of the left iliac vein. Archives of Surgery 118(10): 1227, 1983

Spontaneous Rupture of the Left Common Iliac Vein. 2011

Spontaneous rupture of the left common iliac vein. Journal of the Royal College of Surgeons of Edinburgh 34(3): 165, 1989