title: May-Thurner syndrome presenting as spontaneous left iliac vein rupture.
abstract: Spontaneous iliac vein rupture resulting in a retroperitoneal hematoma is extremely rare and can present as a life-threatening emergency. There is often a delay in diagnosis with no established treatment recommendations. We report the case of a 39-year-old woman who presented with hypovolemic shock, a large left retroperitoneal hematoma, and left lower extremity phlegmasia in the setting of a previously asymptomatic May-Thurner syndrome. She was successfully treated with a combined open and endovascular approach. We also reviewed the literature on the evolution of diagnosis and treatment of this rare condition and present our recommendations for management.
authors.affiliation: Division of Vascular Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa. Electronic address: maen-aboulhosn@uiowa.edu.
authors.forename: Maen Aboul
authors.initials: MA
authors.lastname: Hosn
authors.affiliation: Division of Vascular Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
authors.forename: Neelima
authors.initials: N
authors.lastname: Katragunta
authors.affiliation: Division of Vascular Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
authors.forename: Timothy
authors.initials: T
authors.lastname: Kresowik
authors.affiliation: Division of Vascular Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
authors.forename: William John
authors.initials: WJ
authors.lastname: Sharp
mesh_terms: D000328:Adult; D005260:Female; D006406:Hematoma / Q000473:pathology*; D006801:Humans; D007084:Iliac Vein / Q000473:pathology*; D062108:May-Thurner Syndrome / Q000175:diagnosis* / Q000473:pathology; D012422:Rupture, Spontaneous