1. Leg Edema With Deep Venous Thrombosis-Like Symptoms as an Unusual Complication of Occult Bladder Distension and Right May-Thurner Syndrome in a Stroke Patient: A Case Report 
Sun Im, MD, Seong-Hoon Lim, MD, Ho-Jong Chun, MD, Young-Jin Ko, MD, PhD, Byung-Woo Yang, MD, Hye-Won Kim, MD, PhD 
Archives of Physical Medicine and Rehabilitation 
Volume 90, Issue 5, Pages (May 2009)
DOI: /j.apmr
Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

2. Fig 1
Contrast-enhanced CT performed on initial evaluation after the patient developed sudden right lower-extremity swelling shows marked distension of the bladder compressing the right iliac veins. The right common iliac vein (white arrows) is also compressed between the left common iliac artery (black arrows) and bony spur from the fifth lumbar vertebral body (asterisks). The right thigh shows diffuse soft tissue swelling with subcutaneous fat infiltration, suggesting edema (left lower panel). No evidence of DVT is detected.
Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr )
Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

3. Fig 2
(A) Initial ascending venography shows non-opacification of the right common iliac vein (asterisk) with severe focal stenosis of the right external iliac vein (white arrow) due to extrinsic compression. The external iliac vein is draining into the inferior vena cava via the internal iliac vein and presacral venous plexus (black arrows). (B) Follow-up ascending venography after bladder drainage shows near-complete regression of right external iliac vein stenosis. A focal extrinsic indentation at the right common iliac vein (asterisk) with collateral vessels (black arrow) is still observed.
Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr )
Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

4. Fig 3
Schematic figure shows our patient's abnormal anatomical vessel structure due to situs inversus with the left common iliac artery crossing anterior to the right common iliac vein. Two focal sites of compression are also shown, one at the right external iliac vein (black arrow) and the other, proximally, at the right common iliac vein (white arrow). The latter corresponds to the site in which contrast-enhanced CT showed compression of the right common iliac vein between the left common iliac artery and bony spur from the fifth lumbar vertebral body (see fig 1), suggesting MTS.
Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr )
Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions