A Case of May-Thurner Syndrome with Systemic Lupus Erythematosus in Antiphospholipid Syndrome.
- Author:
Ji Hun KIM
1
;
Jong Wan KANG
;
Gi Bum BAE
;
Jong Min LEE
;
Churl Hyun IM
;
Eon Jeong NAM
;
Young Mo KANG
Author Information
1. Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea. ymkang@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Postthrombotic syndrome;
Antiphospholipid syndrome;
Lupus erythematosus, Systemic
- MeSH:
Antibodies, Anticardiolipin;
Antiphospholipid Syndrome;
Humans;
Iliac Artery;
Iliac Vein;
Lower Extremity;
Lupus Coagulation Inhibitor;
Lupus Erythematosus, Systemic;
May-Thurner Syndrome;
Obesity;
Postthrombotic Syndrome;
Pregnancy;
Smoke;
Smoking;
Stents;
Thrombectomy;
Venous Thrombosis
- From:Korean Journal of Medicine
2012;82(6):774-777
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
May-Thurner syndrome, which refers to an iliofemoral venous thrombosis caused by chronic compression of the left common iliac vein by the right common iliac artery, usually manifests as left lower extremity pain and swelling. The syndrome is particularly evident in patients with health conditions including obesity, smoking, pregnancy, surgery, or prolonged immobility. Antiphospholipid syndrome consists of arterial or venous thrombosis and the association of lupus anticoagulant or anticardiolipin antibodies. Most common clinical manifestations include pregnancy loss and deep vein thrombosis. We experienced a rare case of May-Thurner syndrome concurrent with antiphospholipid syndrome, secondary to systemic lupus erythematosus. The patient was treated successfully by catheter-directed percutaneous thrombectomy, venous thrombolysis, and stent insertion, followed by oral anticoagulant therapy.
