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Recurrent unilateral cellulitis: is it May-Thurner syndrome (MTS)?
  1. Kay Tai Choy and
  2. Sherab Bhutia
  1. Department of Vascular Surgery, Cairns Hospital, Cairns North, Queensland, Australia
  1. Correspondence to Dr Kay Tai Choy, kaytai.choy{at}


May-Thurner syndrome (MTS) is a differential diagnosis to be considered in a patient with recurrent unilateral cellulitis. A 73-year-old woman initially presented with recurrent unilateral cellulitis of her left lower limb. A CT scan demonstrated a stenosed left common iliac vein (CIV) narrowed at its origin by the proximal right common iliac artery consistent with MTS. The chronicity of the condition at the time of diagnosis made attempts to recanalise the CIV unsuccessful. A diagnosis of MTS should be considered in a patient with chronic unilateral limb oedema/cellulitis as it represents a potentially treatable condition if detected early.

  • vascular surgery
  • interventional radiology
  • general practice/family medicine

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  • Contributors KTC prepared the manuscript and performed the relevant literature review. SB supervised the clinical care of the patient and provided overall supervision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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