Key result
Three young female patients with May-Thurner syndrome without actual thrombosis were successfully managed with a Wall stent or anticoagulant therapy.
Case Report (n=3)
Highlights May-Thurner syndrome as a possibly under-reported disorder that can present without actual thrombosis and be managed with stenting or anticoagulation.
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May-Thurner syndrome without thrombosis may be under-recognized in young females; case reports leave open whether stenting or anticoagulation improves outcomes.
The May-Thurner syndrome is an acquired stenosis of the left common iliac vein causing left lower leg edema, thigh discomfort, and deep venous thrombosis. This condition was first described by May and Thurner in 1956 in 22% of autopsy series. They concluded that it was the underlying factor for deep venous thrombosis on the left side. Here, we present three young female patients with May-Thurner syndrome, but without actual thrombosis. One of these patients was successfully treated with a Wall stent, and the other two patients underwent clinical follow-up with anticoagulant therapy.
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Doğan et al. (2005) conducted a case report in May-Thurner syndrome (n=3). Wall stent or anticoagulant therapy was evaluated. Three young female patients with May-Thurner syndrome without actual thrombosis were successfully managed with a Wall stent or anticoagulant therapy.
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