Painful Blue Leg: The Darkside of May-Thurner Syndrome


  • Raden Nadhirah Aishah Bt Hambali
  • Shaiful Amir Abdul Manap a:1:{s:5:"en_US";s:14:"UiTM, Malaysia";}
  • Roshini Maheson
  • Hazzeeq Safin Haji Hashim
  • Li Shyan Ch'ng Ch'ng
  • Megat Akmal Fikri


Phlegmasia Cerulae Dolens PCD is a rare consequence of Deep Vein Thrombosis (DVT), only 2 to 5% of patients with PCD were found to have May-Thurner Syndrome (MTS). Despite its rarity, Phlegmasia Cerulae Dolens is a life-threatening form of acute DVT that necessitates early detection and prompt treatment to save lives and limbs. May-Thurner Syndrome is characterized by an anatomical variation in which the right common iliac artery compresses the left common iliac vein, causing left-sided DVT.PCD causes severe swelling of the lower extremities, pain, and cyanosis, leading to venous gangrene and amputation. We present a case of a 67-year-old lady who presented to the Emergency Department, presented with PCD, and was diagnosed with MTS. The patient then underwent successful endovascular treatment. This study aims to emphasize the importance of early detection and intervention while dealing with acute DVT.