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May-Thurner Syndrome: A Neglected Cause of Unilateral Leg Swelling

机译:五月卷眼症:单侧腿部肿胀的被忽视的原因

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摘要

May-Thurner syndrome (MTS) is a clinical condition characterized by the compression of the left iliac vein by the right iliac artery. This condition?predisposes the patient to deep venous thrombosis (DVT). We present the case of a 30-year-old female who arrived at the emergency department of our facility with progressive left leg swelling for four weeks, with low-risk probability for DVT. Examination revealed left leg swelling with pitting edema extending up to the knee. Her calf muscle was tender to palpation. Dorsalis pedis, anterior tibial, and posterior tibial pulsations were fairly palpable due to the edema; however, the rest of her pulsations were appropriately felt. Therefore, the provisional diagnosis of possible DVT was made, and further investigations were requested. We present this case intending to highlight the clinical presentation of May-Thurner syndrome, its diagnosis, and treatment.
机译:五月叶综合征(MTS)是一种临床状况,其特征在于右髂动脉左侧髂静脉的压缩。这种情况?使患者倾向于深静脉血栓形成(DVT)。我们展示了一个30岁的女性的案件,他们抵达我们的设施急诊部门,逐步左腿肿胀四周,DVT的低风险概率。检查显示左腿肿胀,追逐水肿延伸到膝盖。她的小腿肌肉柔软触觉。由于水肿,Dorsalis Pedis,前胫骨和后胫骨脉动相当明显;然而,适当地感受到她的其余脉动。因此,制定了可能的DVT的临时诊断,并要求进一步调查。我们展示了这种情况,打算突出5月 - Thurner综合征,诊断和治疗的临床介绍。

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