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Case Report
 
A case report of May–Thurner Syndrome associated with a large intra abdominal cyst
Fozia Saeed1, Yazan S. Khaled1,2, Venugopal K. Shankar1
1Department of Vascular Surgery at Leeds General Infirmary, Leeds, United Kingdom.
2University of Leeds, Leeds, United Kingdom.

doi:10.5348/ijcri-201613-CR-10600

Address correspondence to:
Mr. Venugopal K Shankar
Consultant Vascular Surgery
Leeds General Infirmary, Great George Street
Leeds, LS1 3EX
UK

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How to cite this article
Saeed F, Khaled YS, Shankar VK. A case report of May–Thurner Syndrome associated with a large intra abdominal cyst. Int J Case Rep Images 2016;7(1):60–64.


Abstract
Introduction: May–Thurner Syndrome (MTS) usually presents with signs and symptoms of deep vein thrombosis or chronic venous insufficiency. We report the first case of MTS in a previously healthy adolescent female associated with a large intra-abdominal cyst arising from the right ovary.
Case Report: The patient presented with signs and symptoms suggestive of deep vein thrombosis. Imaging confirmed extensive deep vein thromboses extending into the common iliac vein. Further imaging successfully diagnosed MTS and also identified a cyst arising from the right ovary. Catheter-directed thrombolysis followed by removal of the cyst and the right ovary was performed. Following re-thromboses few days later, the patient underwent further management with surgical thrombectomy with left common iliac vein stenting and IVC filter placement.
Conclusion: The present case identifies an unusual presentation of a previously undiagnosed MTS in an adolescent female. In this case, anticoagulation alone was found to be ineffective and required the assistance of endovascular intervention.

Keywords: Cyst, Endovascular, May–Thurner Syndrome, Thrombolysis, Vascular


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Author Contributions
Fozia Saeed – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yazan S. Khaled – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Venugopal K. Shankar – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Fozia Saeed et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.