Endovascular Overlapping Stenting for Chronic Left Common Iliac Vein Occlusion in May Turner Syndrome: A Case report:
Abstract
A 30 year old female was referred to the interventi
onal radiology service with a history of
persisting left lower limb swelling with an associa
ted ulcer in the distal medial aspect of
the leg. She had been evaluated at an outside medic
al facility and treated several times
with warfarin for recurring deep vein thrombosis [D
VT]. A Doppler US examination did not
show any current DVT in the affected lower limb. A
CT venogram showed compression of
the left common iliac vein at the point where the r
ight common iliac artery crossed it
anteriorly, highly suggestive of May Turner Syndrom
e [MTS]. No intraluminal thrombus
was demonstrated in the segment of the left common
iliac vein distal to the obstruction. A
conventional DSA venography confirmed total chro
nic occlusion of the proximal left
common iliac vein by the overlying right common ili
ac artery with multiple pelvic venous
collaterals confirming the diagnosis of MTS. The pa
tient subsequently underwent successful
endovascular stenting of the left iliac vein with t
wo overlapping self expandable stents.
The limb swelling gradually subsided and the venous
ulcer healed. There has been no
recurrence of the DVT in the subsequent one year fo
llow up.
Citation
magabe PC. "Endovascular Overlapping Stenting for Chronic Left Common Iliac Vein Occlusion in May Turner Syndrome: A Case report." East and Central African Journal of Surgery . 2014; Vol 19, No 2 (2014(no2,2014).Publisher
University of Nairobi
Collections
- Faculty of Health Sciences (FHS) [10378]