Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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May-Thurner Syndrome after Total Knee Arthroplasty

인공 슬관절 전치환술 후 발생한 May-Thurner 증후군

  • Shim, Chang Heon (Department of Orthopaedic Surgery, Dona-A University College of Medicine) ;
  • Park, Jin Woo (Department of Orthopaedic Surgery, Dona-A University College of Medicine) ;
  • Wang, Lih (Department of Orthopaedic Surgery, Dona-A University College of Medicine)
  • 심창헌 (동아대학교 의과대학 정형외과학교실) ;
  • 박진우 (동아대학교 의과대학 정형외과학교실) ;
  • 왕립 (동아대학교 의과대학 정형외과학교실)
  • Received : 2020.04.29
  • Accepted : 2020.06.26
  • Published : 2021.06.30
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Abstract

Iliac vein compression syndrome, which results in thrombosis of the left iliac veins, was first described by May and Thurner in 1957. May-Thurner syndrome should be considered when deep vein thrombosis-like symptoms appear, especially in the left lower extremities without an invasive procedure. The authors encountered an interesting case of a middle-aged female patient, who presented with sudden pain, swelling and skin color changes to the left lower extremity after right total knee arthroplasty and was diagnosed May-Thurner syndrome by computed tomography venography. This case is of clinical significance in that the early diagnosis of May-Thurner syndrome in the left lower extremity was made, which might have been overlooked after right total knee arthroplasty. This case is reported with a review of the literature review.

장골정맥 눌림 증후군으로 알려져 있는 May-Thurner 증후군은 May와 Thurner에 의해 1957년 처음으로 기술되었다. 좌측 하지에서 침습적인 처치 없이 심부 정맥 혈전증의 증상이 나타날 때 May-Thurner 증후군을 의심할 수 있다. 저자들은 우측 인공 슬관절 전치환술 후 좌측 하지의 급작스러운 통증, 부종 및 피부색 변화를 보여 컴퓨터 단층촬영 정맥 조영술 시행 후 May-Thurner 증후군을 진단 받은 중년 여성 환자의 흥미로운 증례를 경험하였다. 본 증례를 통해서 우측 인공 슬관절 전치환술 후 간과할 수 있는 좌측 하지 May-Thurner 증후군을 조기에 진단하여 합병증을 예방하는 데 임상적 의의가 있다고 본다. 이에 문헌 고찰과 함께 증례를 보고하고자 한다.

Keywords

Acknowledgement

본 연구는 동아대학교 연구과제 지원으로 이루어졌음.

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