May-Thurner Syndrome secondary to the oral contraceptive pill

Abstract

Presentation
A teenaged female patient presented with left leg pain and swelling for two days. The pain radiated to the left iliac fossa and suprapubic region.

Diagnosis
May-Thurner Syndrome with extensive left leg deep venous thrombosis (DVT).

Treatment
Patient was initially treated with anticoagulants followed by thrombectomy and stenting.

Discussion
May-Thurner Syndrome (MTS) is a condition when left iliac vein is compressed by right common iliac artery over the underlying vertebral body. This significantly decreases blood drainage from the left iliac vein causing DVT. Anticoagulation and endovascular intervention are the recommended treatment of choice.