A case of May-Thurner syndrome with inconsistent radiological and surgical findings.
May-Thurner syndrome is the result of compression of the left common iliac vein between the right common iliac artery and the overlying vertebrae. In this case report, we describe an 11-year-old boy presenting with swelling of the left lower extremity. An iliac MR venography showed compression of the left proximal iliac vein between the vertebra and the left iliac artery. In surgery, it was seen that the left common iliac vein was connected to the postero-inferior part of the inferior vena cava, and it was compressed between the right common iliac artery and the columna vertebralis, which was inconsistent with the radiological findings. An interposition of the great saphenous vein graft between the left common iliac vein and the inferior vena cava was made, with a successful outcome. Our case is interesting in that it showed inconsistent findings between the radiological images and surgery.
Department of Pediatrics, Konya Training and Research Hospital, Konya, Turkey.
Fatih
F
Akin
Department of Radiology, Konya Training and Research Hospital, Konya, Turkey.
Serhat
S
Aygun
Department of Cardiovascular Surgery, School of Medicine, Necmettin Erbakan University, Konya, Turkey.
Niyaziv
N
Gormus
Department of Pediatrics, Konya Training and Research Hospital, Konya, Turkey.
Yeter Duzenli
YD
Kar
Department of Pediatrics, Konya Training and Research Hospital, Konya, Turkey.
Hanife Tugce
HT
Susam
Department of Pediatric Nephrology, Konya Training and Research Hospital, Konya, Turkey.
Ahmet
A
Ozel
D002648:Child; D018572:Disease-Free Survival; D004487:Edema / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D035002:Lower Extremity / Q000473:pathology*; D008297:Male; D062108:May-Thurner Syndrome / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D010690:Phlebography; D058017:Vascular Grafting