Key result
A 20-year-old woman developed an extensive deep vein thrombosis 6 weeks after hip arthroscopy and was found to have May-Thurner syndrome, highlighting it as a risk factor in low-risk procedures.
Case Report (n=1)
Thromboembolic events following low-risk procedures such as hip arthroscopy should prompt investigation for underlying anatomic risk factors like May-Thurner syndrome.
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May prompt May-Thurner evaluation after unexpected post-arthroscopy DVT in young patients; leaves open need for pre-procedure screening.
CASE: A 20-year-old woman underwent hip arthroscopy with a labral repair, a femoral neck osteoplasty, and acetabular rim trimming. Six weeks after surgery, she presented with leg pain and edema, and was found to have an extensive deep vein thrombosis (DVT). Additional imaging studies revealed apparent extrinsic compression of the left common iliac vein, a vascular anatomic variant consistent with May-Thurner syndrome (MTS). CONCLUSION: Thromboembolic events in patients undergoing low-risk procedures should raise concern for additional risk factors, including MTS. Identifying this variant in patients is important to prevent future thrombotic complications.
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Lieberman et al. (2018) conducted a case report in Deep vein thrombosis and May-Thurner syndrome (n=1). Hip arthroscopy was evaluated on Deep vein thrombosis. A 20-year-old woman developed an extensive deep vein thrombosis 6 weeks after hip arthroscopy and was found to have May-Thurner syndrome, highlighting it as a risk factor in low-risk procedures.
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