case_images: PMC6515053_01
case_images: Patient presented with large tortuous varicosities at the lower abdomen and left groin.
case_images: CRIVAM2019-7079307.001.jpg
case_images: PMC6515053_01_CRIVAM2019-7079307.001.jpg
case_images: fig1
case_images: Physical examination confirmed the presence of large tortuous varicosities at the lower abdomen and left groin (Figure 1).
case_images: CT venogram of the abdomen pelvis revealed (a) compression of the left common iliac vein by the right common iliac artery (red arrow), and (b) abdominal and left groin varicosities (blue arrows).
case_images: CRIVAM2019-7079307.002.jpg
case_images: PMC6515053_01_CRIVAM2019-7079307.002.jpg
case_images: fig2
case_images: Computed tomography (CT) venography revealed compression of the left common iliac vein by the right common iliac artery without evidence of acute thrombosis, indicating a diagnosis of May-Thurner syndrome- (MTS-) related anatomy (Figure 2).
case_images: Catheter-based venogram confirmed May-Thurner anatomy with sequelae of chronic DVT in the left iliac vein and cross-pelvic drainage via pelvic and abdominal wall varices (red arrows).
case_images: CRIVAM2019-7079307.003.jpg
case_images: PMC6515053_01_CRIVAM2019-7079307.003.jpg
case_images: fig3
case_images: Catheter-based venography with hemodynamic pressure measurements confirmed May-Thurner anatomy with sequelae of chronic DVT in the left iliac vein and cross-pelvic drainage via pelvic and abdominal wall varices (Figure 3).
case_images: Successful stab phlebectomy and ultrasound-guided sclerotherapy resulted in complete resolution of the symptomatic varicosities.
case_images: CRIVAM2019-7079307.004.jpg
case_images: PMC6515053_01_CRIVAM2019-7079307.004.jpg
case_images: fig4
case_images: The procedure resulted in complete resolution of the symptomatic lower abdominal and left groin varicosities (Figure 4).