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{
    "pk": 1044,
    "title": "An Anomalous Cause of Deep Venous Thrombosis: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Lower extremity deep venous thrombosis (DVT) is a common diagnosis in the emergency department (ED). Deep venous thromboses can be the result of anatomical variation in the vasculature that predisposes the patient to thrombosis. May-Thurner syndrome (MTS) is one such anatomic variant defined by extrinsic compression of the left common iliac vein between the right common iliac artery and lumbar vertebrae.\nCase Report:\n We report such a case of a 39-year-old woman with no risk factors for thromboembolic disease who presented to the ED with extensive unilateral leg swelling and was ultimately diagnosed with MTS.\nConclusion:\n This diagnosis is an important consideration particularly in patients who are young, female, have scoliosis or spinal abnormalities, or are at low risk for DVT yet who present with extensive lower extremity swelling and are found to have proximal thrombus burden. Often further imaging, anticoagulation, angioplasty, or thrombectomy are indicated to prevent morbidity and post-thrombotic syndrome in these patients.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "May-Thurner syndrome"
        },
        {
            "word": "deep venous thrombosis"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3xx9n5x1",
    "frozenauthors": [
        {
            "first_name": "Jana",
            "middle_name": "",
            "last_name": "Florian",
            "name_suffix": "",
            "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California",
            "department": "None"
        },
        {
            "first_name": "Huy",
            "middle_name": "A.",
            "last_name": "Duong",
            "name_suffix": "",
            "institution": "University of California, Irvine School of Medicine, Irvine, California",
            "department": "None"
        },
        {
            "first_name": "Jennifer",
            "middle_name": "S.",
            "last_name": "Roh",
            "name_suffix": "",
            "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California",
            "department": "None"
        }
    ],
    "date_submitted": "2021-06-01T14:20:46-04:00",
    "date_accepted": "2021-06-01T14:20:46-04:00",
    "date_published": "2021-06-01T14:21:48-04:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1044/galley/786/download/"
        }
    ]
}