J Korean Soc Spine Surg.  2007 Jun;14(2):110-114. 10.4184/jkss.2007.14.2.110.

Deep Vein Thrombosis in May-Thurner Syndrome Patient after Operative Treatment of Acute Cauda Equina Syndrome: A Case Report

• Yoo JH
• Kim HS
• Chung ST
• Park JH
• Kim JH
• Cha SD
• Jung KG
• Park SJ

• KMID: 1941664
• DOI: http://doi.org/10.4184/jkss.2007.14.2.110

Abstract

May-Thurner syndrome, compression of the left common iliac vein by the right common iliac artery, or intimal hypertrophy of the vein resulting from chronic pulsatile force of the right common iliac artery, may results in deep vein thrombosis on the left lower extremity. A patient presented to our facility with deep vein thrombosis caused by May-Thurner syndrome, and showed post-operative fever, pain, and tenderness over the left leg, showing severe lumbar disc herniation with acute cauda equina syndrome. This syndrome should be considered as one of the causes of deep vein thrombosis in the left lower extremity.

Keyword

May-Thurner syndrome; Cauda equine syndrome; Deep vein thrombosis

MeSH Terms

Cauda Equina*
Fever
Humans
Hypertrophy
Iliac Artery
Iliac Vein
Leg
Lower Extremity
May-Thurner Syndrome*
Polyradiculopathy*
Veins
Venous Thrombosis*

Figure

• 

  Fig. 1. MRI finding of Lumbar spine. (A) Sagittal T2-weighted MRI of lumbar spine shows severe herniated lumbar disc in lumbar area. (B) Axial T2-weighted MRI of lumbar spine shows severe lumbar disc herniation between L2 and L3. (C) Axial T2-weighted MRI of lumbar spine shows severe lumbar disc herniation between L3 and L4.

• 

  Fig. 2. Simple lateral radiograph shows posterolateral fusion with instrumentation.

• 

  Fig. 3. A picture shows compression of left common iliac vein by right common iliac artery.

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  Fig. 4. CT venogram shows compression of left common iliac vein by right common iliac artery.

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  Fig. 5. Stent is inserted to the compressed site of left common iliac vein.

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