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J Korean Soc Emerg Med > Volume 28(5); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(5): 539-546.
광범위 심부정맥혈전증에 자발성 자궁난소정맥 파열에 의한 복막외 혈종이 동반된 May-Thurner Syndrome 1례
순천향대학교 의과대학 응급의학교실
A Case of May-Thurner Syndrome with Extensive Deep Vein Thrombosis and Extraperitoneal Hematoma from Spontaneous Utero-ovarian Vein Rupture
Heajin Chung
Department of Emergency Medicine, Soonchunhyang University College of Medicine, Seoul, Korea
Correspondence  Heajin Chung ,Tel: 02-710-3278, Fax: 02-709-9083, Email: chjin516@gmail.com,
Received: July 1, 2017; Revised: July 1, 2017   Accepted: October 4, 2017.  Published online: October 31, 2017.
May-Thurner syndrome, also known as iliac vein compression syndrome, is an anatomically variable condition that is characterized by left common iliac vein compression by the right common iliac artery and the lumbar vertebra. This chronic and pulsatile venous compression by the right common iliac artery can cause local intimal injury, inflammation, scarring, and fibrosis, leading to venous outflow obstruction and increased intraluminal pressure. This can cause several complications, such as venous insufficiency, venous claudication, deep vein thrombosis, and very rarely extraperitoneal hematoma due to spontaneous iliac vein rupture. In particular, in middle aged women, hormonal imbalance coupled with these mechanical and inflammatory factors can cause further weakening of the venous wall integrity and develop spontaneous and potentially lethal venous rupture. This paper reports an extremely rare case of a 58-year-old woman with May-Thurner syndrome with acute and extensive deep vein thrombosis of the left lower extremity and a spontaneous extraperitoneal hematoma caused by utero-ovarian vein rupture.
Key words: May-Thurner syndrome, Venous thrombosis, Vascular system injuries, Vein, Abdominal cavity
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