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iliac vein compression syndrome; May-Thurner syndrome
Epidemiology:
- patients typically present in their 3rd, 4th, or 5th decade,
- female preponderance, with a 2:1 ratio
Pathology:
- compression of the left iliac vein by the overlying right iliac artery
- left common iliac vein is most affected,
- left external iliac vein less commonly affected
- right iliac vein compression has also been described
Clinical manifestations:
- repeated occurrence of deep vein thrombosis involving veins in the proximal left leg
Radiology:
- ultrasonography imaging modality of choice
- angiography
- magnetic resonance imaging
General
syndrome
References
- Rothaus C
The Hidden Lesion.
Now@NEJM. June 3, 2016
http://blogs.nejm.org/now/index.php/the-hidden-lesion/2016/06/03/