Key clinical message:
Unidentified MTS carries a potential risk of recurrent DVT, pulmonary embolism, and chronic venous insufficiency. Early recognition for the high-risk group with typical features is crucial.
Abstract
May-Thurner syndrome (MTS), also known as iliac vein compression syndrome which results in luminal narrowing and intimal hyperplasia, which predispose to venous stasis and recurrent deep vein thromboembolism (DVT)
We present a 32-year-old woman with MTS who developed recurrent deep venous thromboses despite undergoing thrombectomy and being on recommended anticoagulation.