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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 19, No. 2, 2014, pp. 117-121
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Bioline Code: js14043
Full paper language: English
Document type: Case Report
Document available free of charge
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East and Central African Journal of Surgery, Vol. 19, No. 2, 2014, pp. 117-121
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Endovascular Overlapping Stenting for Chronic Left Common Iliac Vein Occlusion in May Turner Syndrome: A Case report:
Magabe,P.C.
Abstract
A 30 year old female was referred to the interventional radiology service with a history of
persisting left lower limb swelling with an associated ulcer in the distal medial aspect of
the leg. She had been evaluated at an outside medical facility and treated several times
with warfarin for recurring deep vein thrombosis [DVT]. A Doppler US examination did not
show any current DVT in the affected lower limb. A CT venogram showed compression of
the left common iliac vein at the point where the right common iliac artery crossed it
anteriorly, highly suggestive of May Turner Syndrome [MTS]. No intraluminal thrombus
was demonstrated in the segment of the left common iliac vein distal to the obstruction. A
conventional DSA venography confirmed total chronic occlusion of the proximal left
common iliac vein by the overlying right common iliac artery with multiple pelvic venous
collaterals confirming the diagnosis of MTS. The patient subsequently underwent successful
endovascular stenting of the left iliac vein with two overlapping self expandable stents.
The limb swelling gradually subsided and the venous ulcer healed. There has been no
recurrence of the DVT in the subsequent one year follow up.
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© Copyright 2014 - East and Central African Journal of Surgery
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