Pelvic Congestion Syndrome Secondary To Concomitant Posterior Nutcracker Syndrome and May Thurner Syndrome: A Case Report

Abstract

Pelvic congestion syndrome (PCS) is an overlooked condition affecting millions of women worldwide with chronic pelvic pain. Nutcracker syndrome (NCS) is an uncommon cause of PCS, which develops due to compression of the left renal vein, resulting in pelvic venous hypertension. Its association with May–Thurner syndrome (MTS), which refers to compression of the left common iliac vein by the right common iliac artery, is an extremely rare clinical entity, which may lead to further worsening of the symptoms arising out of pelvic venous congestion. We report a middle-aged female having concomitant posterior NCS and MTS leading to PCS, which was managed by endovascular percutaneous intervention.