Open AccessMay-Thurner variant secondary to degenerative lumbar spondylolisthesis: a case report
Author(s) -
David McKean,
James Sutcliffe,
Hassan El Hassan,
Nassim Parvizi,
Anuj Wali,
Dinuke Warakaulle,
James Teh,
Edward H. Seel,
Stuart Blagg,
Richard J. Hughes
Publication year - 2017
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20170011
Subject(s) - medicine , may–thurner syndrome , spondylolisthesis , lumbar , surgery , deep vein , venous thrombosis , radiology , thrombosis , anatomy
May-Thurner syndrome (MTS) is a rare condition in which patients develop iliofemoral deep venous thrombosis due to an anatomical variant in which the right common iliac artery overlies and compresses the left common iliac vein against the lumbar spine. We report a case of variant MTS, where vascular distortion secondary to spontaneous spinal arthrodesis of degenerative lumbar spondylolisthesis resulted in left common iliac vein compression and iliofemoral deep vein thrombosis. While the common complications of degenerative spondylolisthesis, such as spinal stenosis, are well described; the potential for pelvic vascular distortion secondary to anterior translation of the lumbar spine is not well recognized. The purpose in presenting this case is to describe the mechanism by which this variant of MTS occurs and highlight the need for vigilance for this unusual clinical entity.