Recurrent transplant renal vein thrombosis caused by May-Thurner syndrome: a case report and review of literature.

Authors

Koosha Kamali, Hossein Saffari, Ehsan Zolfi, Shervin Najafizadeh, Nasrollah Abian, Farhad Ahmadi, Vahid Vahedisoraki

Published in

Urology case reports. Volume 67. Pages 103516. Epub Jun 23, 2026.

Abstract

Transplant renal vein thrombosis (TRVT) affects 0.1% to 4.2% of transplants, leading to graft loss in almost all cases. Mechanical factors are the most common underlying cause of TRVT, a category that includes May-Thurner syndrome (MTS). We report a 62-year-old man underwent left-sided kidney transplantation but developed recurrent deep vein thrombosis and TRVT. Two emergency thrombectomies restored graft function, though no iatrogenic cause was identified. Further investigations revealed MTS as the underlying etiology. Left common iliac vein stenting with long-term anticoagulation was implemented, highlighting the importance of considering anatomic venous anomalies in transplant recipients with unexplained or recurrent thrombosis.

PMID:
42389658
Bibliographic data and abstract were imported from PubMed on 02 Jul 2026.

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