May-Thurner syndrome: MDCT findings and clinical correlates.
May-Thurner syndrome (MTS) is a venous compression syndrome in which the left common iliac vein is compressed between the lower lumbar spine and the right common iliac artery. While asymptomatic compression is very common, the process can lead to morbidity in selected individuals, most commonly deep venous thrombosis (DVT) and the sequelae thereof. Radiologists must recognize the diagnosis because of the unique management, which differs from DVT without iliac vein compression. The current pictorial essay will review the pathophysiology, imaging, and treatment of MTS.
The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, 601 North Caroline Street, Room 4223, Baltimore, MD, 21287, USA.
Carolina
C
Lugo-Fagundo
The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, 601 North Caroline Street, Room 4223, Baltimore, MD, 21287, USA.
John W
JW
Nance
The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, 601 North Caroline Street, Room 4223, Baltimore, MD, 21287, USA. pjohnso5@jhmi.edu.
Pamela T
PT
Johnson
The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, 601 North Caroline Street, Room 4223, Baltimore, MD, 21287, USA.
Elliot K
EK
Fishman
D003937:Diagnosis, Differential; D006801:Humans; D062108:May-Thurner Syndrome / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy; D061330:Multidetector Computed Tomography
Computed tomography; Deep vein thrombosis; Iliac vein compression syndrome; May–Thurner syndrome