May-Thurner syndrome found incidentally after left femoral catheterization in a pediatric patient.
In May-Thurner syndrome, the left common iliac vein is compressed between the overlying right common iliac artery and the underlying vertebral body. Chronic and/or repetitive compressions at this site cause fibrosis of the vein and thus stenosis, potentially occluding the lumen. This report describes a case of May-Thurner syndrome discovered incidentally after femoral catheterization for chemotherapy in a 25-month-old child with juvenile myelomonocytic leukemia (JMML). The patient had no symptoms associated with compression. The syndrome was diagnosed by computed tomography, and there was no evidence of thrombosis. The patient died secondary to sepsis.
Lee
Kun Moo
KM
Department of Anesthesiology, Paik Hospital, Inje University, Busan, Korea.
Park
Ji Kyoung
JK
Lim
Se Hun
SH
Cho
Kwang Rae
KR
Kim
Yong Han
YH
Cheong
Soon Ho
SH
D002404:Catheterization / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000473:pathology*; D015994:Incidence; D007223:Infant; D054429:Leukemia, Myelomonocytic, Juvenile / Q000150:complications / Q000628:therapy*; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D018805:Sepsis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D013577:Syndrome; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed