PT - JOURNAL ARTICLE AU - Balbir Singh AU - Prashant Bharadwaj AU - Nitin Bajaj AU - Davinder Chadha TI - Endovascular management of a case of spontaneous retroperitoneal haematoma complicated with deep vein thrombosis and pulmonary embolism AID - 10.1136/bcr-2017-222217 DP - 2017 Dec 01 TA - BMJ Case Reports PG - bcr-2017-222217 VI - 2017 4099 - http://casereports.bmj.com/content/2017/bcr-2017-222217.short 4100 - http://casereports.bmj.com/content/2017/bcr-2017-222217.full AB - Spontaneous retroperitoneal haematoma (SRH) can be a life-threatening emergency presenting with hypovolaemic shock. SRH has been rarely reported with May-Thurner syndrome (MTS) where it occurs due to rupture of the iliac vein or venous collaterals. We report a case of MTS that presented with deep venous thrombosis of the left lower limb complicated by bilateral pulmonary embolism (PE) and a large pelvic haematoma. The simultaneous occurrence of a large pelvic haematoma and PE offered a therapeutic challenge. Successful endovascular management of the case is discussed in this report.