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May-Thurner Syndrome

An often-missed cause of chronic pelvic pain

Ruel, Jennifer DNP, FNP-BC, ENP-BC (Associate Clinical Professor)

Journal of the American Association of Nurse Practitioners: July 2019 - Volume 31 - Issue 7 - p 388–390
doi: 10.1097/JXX.0000000000000205
Brief Report

ABSTRACT May-Thurner syndrome (MTS), or iliac vein compression syndrome, is a pelvic condition that involves compression of the iliac veins resulting in endothelial damage. This condition is typically asymptomatic and often missed in primary care. As progression occurs over time, symptoms related to venous hypertension may be present including acute extremity pain and swelling, pelvic pain, venous claudication, deep venous thrombosis, or chronic development of venous insufficiency. A case report is provided to enhance primary health care providers' knowledge of MTS and promote early detection and recognition to enhance positive and expedited outcomes.

University of Detroit Mercy, Detroit, MI

Correspondence: Jennifer Ruel, DNP, FNP-BC, ENP-BC, College of Health Professions, McAuley School of Nursing, University of Detroit Mercy, 4001 W. McNichols Rd., Detroit, MI 48221. Tel: 313-993-1612; Fax: 313-993-1271; E-mail:

Competing interests: The author reports no conflicts of interest.

Received July 16, 2018

Received in revised form January 13, 2019

Accepted January 16, 2019

© 2019 American Association of Nurse Practitioners
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