Pelvic Congestion Syndrome Secondary To Concomitant Posterior Nutcracker Syndrome and May Thurner Syndrome: A Case Report

Author:

Abraham Siju T1,Matad Siddharth1,Nazareth Vinay1,Sumanth KB Raj1,Anand Vivek1

Affiliation:

1. Department of Vascular and Endovascular Surgery, Jain Institute of Vascular Sciences, Bhagwan Mahaveer Jain Hospital, Bengaluru, Karnataka, India

Abstract

Abstract Pelvic congestion syndrome (PCS) is an overlooked condition affecting millions of women worldwide with chronic pelvic pain. Nutcracker syndrome (NCS) is an uncommon cause of PCS, which develops due to compression of the left renal vein, resulting in pelvic venous hypertension. Its association with May–Thurner syndrome (MTS), which refers to compression of the left common iliac vein by the right common iliac artery, is an extremely rare clinical entity, which may lead to further worsening of the symptoms arising out of pelvic venous congestion. We report a middle-aged female having concomitant posterior NCS and MTS leading to PCS, which was managed by endovascular percutaneous intervention.

Publisher

Medknow

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