How Point-of-Care Ultrasound led to a diagnosis of May-Thurner Syndrome

A 65-year-old man with a history of a left-sided inguinal hernia presented with three days of left-sided groin pain worsened with exertion and fatigue. The patient was afebrile but tachycardic, and physical examination revealed a tender, erythematous immobile bulge in his left groin. Laboratory stud...

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Bibliographic Details
Main Authors: Daniel Belkin (Author), Mitchell Belkin (Author), Maedeh Ashrafi (Author), Charan Vegivinti (Author), Yung-Hsien Wang (Author), Leonidas Palaiodimos (Author)
Format: Book
Published: CINQUILL Medical Publishers Inc., 2021-11-01T00:00:00Z.
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100 1 0 |a Daniel Belkin  |e author 
700 1 0 |a Mitchell Belkin  |e author 
700 1 0 |a Maedeh Ashrafi  |e author 
700 1 0 |a Charan Vegivinti  |e author 
700 1 0 |a Yung-Hsien Wang  |e author 
700 1 0 |a Leonidas Palaiodimos  |e author 
245 0 0 |a How Point-of-Care Ultrasound led to a diagnosis of May-Thurner Syndrome 
260 |b CINQUILL Medical Publishers Inc.,   |c 2021-11-01T00:00:00Z. 
500 |a 10.24908/pocus.v6i2.15105 
500 |a 2369-8543 
520 |a A 65-year-old man with a history of a left-sided inguinal hernia presented with three days of left-sided groin pain worsened with exertion and fatigue. The patient was afebrile but tachycardic, and physical examination revealed a tender, erythematous immobile bulge in his left groin. Laboratory studies revealed leukocytosis. Lymphadenopathy secondary to infectious or inflammatory etiology was suspected. However, point-of-care ultrasound (POCUS) identified extensive deep vein thrombosis (DVT) of the lower left limb. Follow-up imaging revealed this to be secondary to May-Thurner syndrome, a mechanical compression of an iliocaval vein against the lumbar vertebrae by a common iliac artery. This report demonstrates how POCUS can be used to identify lower extremity DVT, thereby expediting diagnosis and treatment and potentially preventing complications. 
546 |a EN 
690 |a deep vein thrombosis 
690 |a DVT 
690 |a point-of-care ultrasound 
690 |a POCUS 
690 |a May-Thurner syndrome 
690 |a Vascular 
690 |a Internal medicine 
690 |a RC31-1245 
690 |a Medical technology 
690 |a R855-855.5 
655 7 |a article  |2 local 
786 0 |n POCUS Journal, Vol 6, Iss 2 (2021) 
787 0 |n https://ojs.library.queensu.ca/index.php/pocus/article/view/15105 
787 0 |n https://doaj.org/toc/2369-8543 
856 4 1 |u https://doaj.org/article/a287edbfac8a4a0a85c0429dca77bae3  |z Connect to this object online.