Rare presentation and endovascular treatment of multifocal iliac venous stenoses due to right sided May-Thurner Syndrome

Abstract May-Thurner Syndrome (MTS) is a well-recognized anatomical variant describing compression of the left common iliac vein and may manifest as lower extremity swelling, pain, ulceration, discoloration, and paresthesia. Right-sided MTS is documented in the literature, though exceedingly rare. Specifically, no current reports describe a multifocal stenoses of the right iliac vein due to anatomical variants associated with left sided IVC. We present a case involving a patient with this pathophysiology, radiographic/sonographic correlate imaging, and subsequent endovascular treatment.