PT  - JOURNAL ARTICLE
AU  - Suhas Umakanth
AU  - Swapneel Avinash Karnik
AU  - Alankrith Ramesh Kashyap
AU  - Badareesh Lakshminarayana
TI  - May-Thurner syndrome: an unusual cause of unprovoked deep vein thrombosis of the left lower limb
AID  - 10.1136/bcr-2021-244103
DP  - 2022 Jan 01
TA  - BMJ Case Reports
PG  - e244103
VI  - 15
IP  - 1
4099  - http://casereports.bmj.com/content/15/1/e244103.short
4100  - http://casereports.bmj.com/content/15/1/e244103.full
SO  - BMJ Case Reports2022 Jan 01; 15
AB  - May-Thurner syndrome, an unprovoked form of deep vein thrombosis (DVT), should be kept in mind in case of DVT with no predisposing factors. We present a case of a 37-year-old male with DVT of left lower limb due to May-Thurner syndrome, treated with anticoagulants with a plan of left common iliac vein (LCIV) stenting and inferior vena cava (IVC) filter later. Venous duplex scan showed features suggestive of May-Thurner syndrome. Hence, we proceeded for CT abdominal aortogram with bilateral lower limb angiogram, which confirmed the above findings. Management of May-Thurner syndrome is a stepwise approach, with initial anticoagulation for dissolution of the thrombus followed by endovenous stenting of the LCIV and concomitant IVC filter.