In this report, we describe a rare case: deep vein thrombosis due to May-Thurner syndrome with a spontaneous pelvic extraperitoneal hematoma. This unique challenge highlights balancing thrombosis treatment and bleeding risk. Endovascular treatment with delayed anticoagulation may be an alternative to surgery for stable retroperitoneal hematoma in May-Thurner syndrome patients.
TannousHNasrallahFMarjaniM. Spontaneous Iliac vein rupture: case report and comprehensive review of the literature. Ann Vasc Surg. 2006;20:258-262. doi:10.1007/s10016-006-9003-5
2.
JiangJDingXZhangG, et al.Spontaneous retroperitoneal hematoma associated with iliac vein rupture. J Vasc Surg. 2010;52:1278-1282. doi:10.1016/j.jvs.2010.06.102
3.
RazaviMKJaffMRMillerLE. Safety and effectiveness of stent placement for iliofemoral venous outflow obstruction: systematic review and meta-analysis. Circ Cardiovasc Interv. 2015;8:e002772. doi:10.1161/circinterventions.115.002772
4.
SebastianTSpirkDEngelbergerRP, et al.Incidence of stent thrombosis after endovascular treatment of iliofemoral or caval veins in patients with the postthrombotic syndrome. Thromb Haemostasis. 2019;119:2064-2073. doi:10.1055/s-0039-1697955
