36 year old female with a left lower extremity iliofemoral deep venous thrombosis (DVT) and pulmonary embolism (PE) 9 years prior. Increasing problems with left leg venous claudication with exercise. Symptoms limiting the patients ability to be active. MR venography showed occlusion of the left iliac venous system typical of May Thurner syndrome or iliac vein compression syndrome. Stenting and venoplasty was performed with complete resolution of symptoms.
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.
87 year old with severe left leg claudication limiting ability to walk more than 100 feet
Asymptomatic slowly enlarging internal iliac artery aneurysm