PMC6515053_01
Patient presented with large tortuous varicosities at the lower abdomen and left groin.
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Physical examination confirmed the presence of large tortuous varicosities at the lower abdomen and left groin (Figure 1).
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).
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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).
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).
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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).
Successful stab phlebectomy and ultrasound-guided sclerotherapy resulted in complete resolution of the symptomatic varicosities.
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The procedure resulted in complete resolution of the symptomatic lower abdominal and left groin varicosities (Figure 4).