“Right-Sided” May-Thurner Syndrome

• DOI: 10.1007/s00270-009-9654-z
• Publication Date: 2009-07-23T16:09:38Z
• Authors: Georges Abboud; Marco Midulla; Christophe Lions; Ziad El Ngheoui; Laurent Gengler; Thomas Martinelli; Jean-Paul Beregi
• Keywords: May–Thurner syndrome

The May-Thurner syndrome is a well-known anatomical anomaly where the left common iliac vein (LCIV) is compressed between the right common iliac artery and the fifth vertebral body. This report describes the case of a "right-sided" May-Thurner syndrome where the right common iliac vein (RCIV) is compressed by the left common iliac artery in a patient with a left-sided inferior vena cava (IVC). A 26-year-old woman was admitted to our institution with acute edema of the right lower limb. The diagnosis of May-Thurner syndrome was done by CT scan and confirmed by phlebography. An endovascular treatment with stenting was carried out, with good patency and clinical result at 12-month follow-up.