Background: May Thurner syndrome is relatively unknown to physicians, its management is well standardized and the outcomes of treatment are satisfactory in the short to medium term.
Case presentation: We report the case of a patient who suffered from venous claudication during running which impaired their quality of life, decreased their athletic performance and resulted in a career change. May Thurner syndrome diagnosis was made after extensive hemodynamic analysis of a lower limb venous duplex ultrasound scan. This diagnosis was later confirmed by imaging. Subsequent endovascular care provided rapid and sustained clinical improvement.
Conclusion: The main difficulties with the May Thurner syndrome are to think about it and know how to look for it; indeed the misdiagnosis time can be long. When diagnosis is made, treatment could be easy and effective.
Keywords: Case report; May Thurner syndrome; Post thrombotic syndrome; Venous claudication; Venous compression.