May-Thurner syndrome: MDCT findings and clinical correlates

Carolina Lugo-Fagundo; John W Nance; Pamela T Johnson; Elliot K Fishman

doi:10.1007/s00261-016-0793-9

May-Thurner syndrome: MDCT findings and clinical correlates

Abdom Radiol (NY). 2016 Oct;41(10):2026-30. doi: 10.1007/s00261-016-0793-9.

Authors

Carolina Lugo-Fagundo¹, John W Nance¹, Pamela T Johnson², Elliot K Fishman¹

Affiliations

¹ The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, 601 North Caroline Street, Room 4223, Baltimore, MD, 21287, USA.
² The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, 601 North Caroline Street, Room 4223, Baltimore, MD, 21287, USA. pjohnso5@jhmi.edu.

PMID: 27271358
DOI: 10.1007/s00261-016-0793-9

Abstract

May-Thurner syndrome (MTS) is a venous compression syndrome in which the left common iliac vein is compressed between the lower lumbar spine and the right common iliac artery. While asymptomatic compression is very common, the process can lead to morbidity in selected individuals, most commonly deep venous thrombosis (DVT) and the sequelae thereof. Radiologists must recognize the diagnosis because of the unique management, which differs from DVT without iliac vein compression. The current pictorial essay will review the pathophysiology, imaging, and treatment of MTS.

Keywords: Computed tomography; Deep vein thrombosis; Iliac vein compression syndrome; May–Thurner syndrome.

Publication types

Review

MeSH terms

Diagnosis, Differential
Humans
May-Thurner Syndrome / diagnostic imaging*
May-Thurner Syndrome / physiopathology
May-Thurner Syndrome / therapy
Multidetector Computed Tomography*