title: [May-Thurner syndrome as a cause of neurovascular compression of the pudendal nerve].
abstract: May-Thurner syndrome is a clinical condition that results from narrowing of the left common iliac vein lumen due to pressure from the right common iliac artery as it crosses anterior to it. We describe an atypical case of May-Thurner syndrome in a 23-year-old woman that presented only continuous pain in pudendal zone without vascular symptoms. The Doppler ultrasound, nuclear magnetic resonance and others complementary analyses show the presence of a pelvic venous congestion syndrome and we hypothesized that this condition produced a neuropathic compression of the pudendal nerve in Alcock's canal. Patient was treated with the technique of pudendal nerve blockade by trans-gluteal via. An important reduction in pain of pudendal zone was showed.
authors.affiliation: Uromédica OSF, México DF. soteror@prodigy.net.mx
authors.forename: Sotero
authors.initials: S
authors.lastname: Ramírez García
authors.forename: José
authors.initials: J
authors.lastname: Gutiérrez Salinas
authors.forename: Norma Rebeca
authors.initials: NR
authors.lastname: Núñez Ramos
authors.forename: Angel Joel
authors.initials: AJ
authors.lastname: Maldonado Velázquez
authors.forename: Sergio
authors.initials: S
authors.lastname: Hernández Rodríguez
authors.forename: Hazel
authors.initials: H
authors.lastname: Carranza Castro
authors.forename: Liliana
authors.initials: L
authors.lastname: García Ortiz
mesh_terms: D005260:Female; D006801:Humans; D062108:May-Thurner Syndrome / Q000150:complications*; D009408:Nerve Compression Syndromes / Q000209:etiology*; D060525:Pudendal Nerve; D055815:Young Adult