When DVT turns into surgical catastrophe: undiagnosed case of May-Thurner syndrome leading to retroperitoneal haematoma and fatal bleeding

Joshua Agilinko; Najam Husain; Daniele Fanelli; Syed Soulat Raza; Pradeep Kumar

doi:10.1093/jscr/rjz385

When DVT turns into surgical catastrophe: undiagnosed case of May-Thurner syndrome leading to retroperitoneal haematoma and fatal bleeding

J Surg Case Rep. 2020 Feb 19;2020(2):rjz385. doi: 10.1093/jscr/rjz385. eCollection 2020 Feb.

Authors

Joshua Agilinko¹, Najam Husain², Daniele Fanelli³, Syed Soulat Raza², Pradeep Kumar²

Affiliations

¹ Department of General Surgery, Aberdeen Royal Infirmary, Foresterhill Health Campus, Foresterhill Rd, Aberdeen AB25 2ZN, UK.
² Department of Surgery, Queens Hospital, Belvedere Road, Burton on Trent, DE13 0RB, UK.
³ Department of Neurosurgery, Aberdeen Royal Infirmary, Foresterhill Health Campus, Foresterhill Rd, Aberdeen AB25 2ZN, UK.

Abstract

May-Thurner syndrome (MTS) is an unusual cause of deep venous thrombosis; even rarer is the spontaneous rupture of collaterals around the thrombosed common iliac vein due to MTS. We present a case of MTS which presented with left leg swelling and abdominal mass due to retroperitoneal haemorrhage.

Keywords: DVT; May-Thurner syndrome; left iliac vein.

Publication types

Case Reports