case_images: PMC6535643_01
case_images: PCD at time of presentation.
case_images: gr1.jpg
case_images: PMC6535643_01_gr1.jpg
case_images: fig0005
case_images: Left Lower limb examination showed (Fig. 1): cyanosis, severe edema, blistering of skin extending up to the scrotum.
case_images: Venogram Pre PCDT.
case_images: gr2.jpg
case_images: PMC6535643_01_gr2.jpg
case_images: fig0010
case_images: Under ultrasound guidance & putting the patient in a prone position, the occluding thrombus was accessed distally from popliteal vein & a retrograde venogram was done, which showed a thrombus that almost completely occluding the popliteal vein (Fig. 2) extending all the way up to ilio-femoral veins with no contrast passing through to the inferior vena cava (I.V.C).
case_images: Venogram during PCDT.
case_images: gr3.jpg
case_images: PMC6535643_01_gr3.jpg
case_images: fig0015
case_images: After 18 h, the patient was brought back to the angio suite & a venogram was done which showed lysis of most of the thrombus burden (Fig. 3).
case_images: May-Turner syndrome during venogram (in prone position).
case_images: gr4.jpg
case_images: PMC6535643_01_gr4.jpg
case_images: fig0020
case_images: However, there was narrow segment in the left common iliac vein at the confluence (Fig. 4).
case_images: Venogram post PCDT & stenting.
case_images: gr5.jpg
case_images: PMC6535643_01_gr5.jpg
case_images: fig0025
case_images: Then the vein was stented with a size 16mm, length 21mm self-expandable wall stent with no residual stenosis left Fig. 5).