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BMC Sports Science, Medicine and Rehabilitation

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Open Access 01-12-2018 | Case report

May Thurner syndrome revealed by left calf venous claudication during running, a case report

Authors: Samuel Béliard, Damien Feuvrier, Emilie Ducroux, Lucie Salomon du Mont

Published in: BMC Sports Science, Medicine and Rehabilitation | Issue 1/2018

Abstract

Background

May Thurner syndrome is relatively unknown to physicians, its management is well standardized and the outcomes of treatment are satisfactory in the short to medium term.

Case presentation

We report the case of a patient who suffered from venous claudication during running which impaired their quality of life, decreased their athletic performance and resulted in a career change. May Thurner syndrome diagnosis was made after extensive hemodynamic analysis of a lower limb venous duplex ultrasound scan. This diagnosis was later confirmed by imaging. Subsequent endovascular care provided rapid and sustained clinical improvement.

Conclusion

The main difficulties with the May Thurner syndrome are to think about it and know how to look for it; indeed the misdiagnosis time can be long. When diagnosis is made, treatment could be easy and effective.

Becker F. Dictionary of vascular medicine terms: venous disease (A-O) ; Vol. 2, venous disease (P-Z). Elsevier: Masson; 2006.

Le Roux P, Planchon B. Recherche de la position optimale de drainage veineux des membres inférieurs par pléthysmographie occlusive. Ann Kinésithérapie. 1994;21(1):33–6.

Laroche J-P. Les veines respirent ! Sang Thrombose Vaisseaux. 2012;24(3):143–5.

Knipp BS, Ferguson E, Williams DM, Dasika NJ, Cwikiel W, Henke PK, Wakefield TW. Factors associated with outcome after interventional treatment of symptomatic iliac vein compression syndrome. J Vasc Surg. 2007;46(4):743–9.CrossRefPubMed

Laroche J-P, Becker J-F, Dadon M, Brisot D, Coupé M, Khau Van Kien A, Böge G, et al. Le syndrome de Cockett : mythe ou réalité ? J Mal Vasc. 2011;36(2):74–5.CrossRef

May R, Thurner J. The cause of the predominantly Sinistral occurrence of thrombosis of the pelvic veins. Angiology. 1957;8(5):419–27.CrossRefPubMed

Kibbe MR, Michael U, Lee Goodwin A, Eskandari M, Yao J, Matsumura J. Iliac vein compression in an asymptomatic patient population. J Vasc Surg. 2004;39(5):937–43.CrossRefPubMed

Narayan A, Eng J, Carmi L, McGrane S, Muneeb A, Richey Sharrett A, Streiff M, Coresh J, Powe N, Hong K. Iliac vein compression as risk factor for left- versus right-sided deep venous thrombosis: case-control study. Radiology. 2012;265(3):949–57.CrossRefPubMedPubMedCentral

McDermott S, Oliveira G, Ergül E, Brazeau N, Wicky S, Oklu R. May-Thurner syndrome: can it be diagnosed by a single MR Venography study? Diagn Interv Radiol (Ankara, Turkey). 2013;19(1):44–8. https://doi.org/10.4261/1305-3825.DIR.5939-12.1.

10.

Brinegar KN, Sheth RA, Khademhosseini A, Bautista J, Oklu R. Iliac vein compression syndrome: clinical, imaging and pathologic findings. World J Radiol. 2015;7(11):375–81.CrossRefPubMedPubMedCentral

11.

Bomalaski MD, Mills JL, Argueso LR, Fujitani RM, Sago AL, Joseph AE. Iliac vein compression syndrome: an unusual cause of Varicocele. J Vasc Surg. 1993;18(6):1064–8.CrossRefPubMed

12.

Galanaud J-P. Syndrome post-thrombotique selon les recommandations de l’American Heart Association 2014. J Mal Vasc, 14e Congrès de la Société Française de Médecine Vasculaire. 2015;40(5):300.

13.

Joubert SV, Duarte MA. Chronic Exertional compartment syndrome in a healthy young man. J Chiropractic Med. 2016;15(2):139–44. https://doi.org/10.1016/j.jcm.2016.04.007.CrossRef

14.

Garlanger KL, Jelsing EJ, Finnoff JT. External iliac artery vasospasm in an elite female runner. Sports Health. 2017;9(1):87–90.CrossRef

15.

Labropoulos N, Borge M, Pierce K, Pappas PJ. Criteria for defining significant central vein Stenosis with duplex ultrasound. J Vasc Surg. 2007;46(1):101–7.CrossRefPubMed

16.

Ahmed HK, Hagspiel KD. Intravascular Ultrasonographic findings in may-Thurner syndrome (iliac vein compression syndrome). J Ultrasound Med. 2001;20(3):251–6.CrossRefPubMed

17.

Donatella N, Marcello BU, Gaetano V, Massimo P, Massimo M, Giancarlo B. What the young physician should know about may-Thurner syndrome. In: Translational Medicine @ UniSa 12 (août); 2015. p. 19–28.

18.

Dadon M. Le syndrome de Cockett. J Mal Vasc, 9e Congrès de la Société Française de Médecine Vasculaire. 2010;35(5):305–6.

19.

Jenkins JS, Michael P. Deep venous thrombosis: an Interventionalist’s approach. Ochsner J. 2014;14(4):633–40.PubMedPubMedCentral

20.

Raju S, Neglén P. Percutaneous Recanalization of Total occlusions of the iliac vein. J Vasc Surg. 2009;50(2):360–8.CrossRefPubMed

21.

Auvert J-F, Chleir F, Coppé G, Hamel-Desnos C, Moraglia L, Pichot O, SFMV. Quality standards for ultrasound assessment of the superficial venous system of the lower limbs. Report of the French Society for Vascular Medicine. J Mal Vasc. 2014;39(1):26–46.CrossRefPubMed

22.

Laroche J-P. L’art de l’écho-Doppler veineux en 2016. J Mal Vasc, 50e congrès de Collège Français de Pathologie Vasculaire. 2016;41(2):118–9.

Title: May Thurner syndrome revealed by left calf venous claudication during running, a case report
Authors: Samuel Béliard
Damien Feuvrier
Emilie Ducroux
Lucie Salomon du Mont
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Sports Science, Medicine and Rehabilitation / Issue 1/2018
Electronic ISSN: 2052-1847
DOI: https://doi.org/10.1186/s13102-018-0092-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

May Thurner syndrome revealed by left calf venous claudication during running, a case report

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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