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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.

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Accession: 058276616

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PMID: 27639003

DOI: 10.1016/j.jvsv.2016.03.007

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