Korean J Med.  2012 Jun;82(6):774-777.

A Case of May-Thurner Syndrome with Systemic Lupus Erythematosus in Antiphospholipid Syndrome

• Kim JH
• Kang JW
• Bae GB
• Lee JM
• Im CH
• Nam EJ
• Kang YM

Abstract

May-Thurner syndrome, which refers to an iliofemoral venous thrombosis caused by chronic compression of the left common iliac vein by the right common iliac artery, usually manifests as left lower extremity pain and swelling. The syndrome is particularly evident in patients with health conditions including obesity, smoking, pregnancy, surgery, or prolonged immobility. Antiphospholipid syndrome consists of arterial or venous thrombosis and the association of lupus anticoagulant or anticardiolipin antibodies. Most common clinical manifestations include pregnancy loss and deep vein thrombosis. We experienced a rare case of May-Thurner syndrome concurrent with antiphospholipid syndrome, secondary to systemic lupus erythematosus. The patient was treated successfully by catheter-directed percutaneous thrombectomy, venous thrombolysis, and stent insertion, followed by oral anticoagulant therapy.

Keyword

Postthrombotic syndrome; Antiphospholipid syndrome; Lupus erythematosus, Systemic

MeSH Terms

Antibodies, Anticardiolipin
Antiphospholipid Syndrome
Humans
Iliac Artery
Iliac Vein
Lower Extremity
Lupus Coagulation Inhibitor
Lupus Erythematosus, Systemic
May-Thurner Syndrome
Obesity
Postthrombotic Syndrome
Pregnancy
Smoke
Smoking
Stents
Thrombectomy
Venous Thrombosis
Antibodies, Anticardiolipin
Lupus Coagulation Inhibitor
Smoke